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Child's Nervous System

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01-06-2018 | Case Report

Cervicothoracic epidural hematoma in a toddler with miosis, ptosis, nonspecific symptoms, and no history of major trauma: case report

Authors: Brandon K. Root, Derrek A. Schartz, Dan R. Calnan, William F. Hickey, David F. Bauer

Published in: Child's Nervous System | Issue 6/2018

Abstract

Introduction

Spinal epidural hematomas are uncommon in children. The diagnosis can be elusive as most cases present without a history of trauma, while symptoms can be atypical.

Case Report

We encountered a 35-month-old male presenting with nonspecific symptoms and no history of trauma. He later developed unilateral miosis and ptosis; MRI discovered a subacute cervicothoracic epidural which was promptly evacuated. The patient made an excellent recovery.

Coclusions

We emphasize the frequent absence of identifiable trauma and the importance of thorough imaging when this entity is suspected. Miosis and ptosis, likely representing a partial Horner syndrome, is an extremely rare presentation, this being one of the only reported cases.

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Title: Cervicothoracic epidural hematoma in a toddler with miosis, ptosis, nonspecific symptoms, and no history of major trauma: case report
Authors: Brandon K. Root
Derrek A. Schartz
Dan R. Calnan
William F. Hickey
David F. Bauer
Publication date: 01-06-2018
Publisher: Springer Berlin Heidelberg
Published in: Child's Nervous System / Issue 6/2018
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-018-3736-7

At a glance: The STEP trials

Springer Medicine

Cervicothoracic epidural hematoma in a toddler with miosis, ptosis, nonspecific symptoms, and no history of major trauma: case report

Abstract

Introduction

Case Report

Coclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Case Report

Coclusions

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