Recurrent spontaneous spinal epidural hematoma in children: case report

Abstract

Background: Spontaneous spinal epidural hematomas are a rare cause of spinal cord compression in children. These are typically isolated events and could be associated to hemophilia. Symptoms typically include a sudden onset of back pain followed by neurologic deterioration including weakness, numbness, and incontinence. Recurrent spontaneous spinal epidural hematomas have been reported only in two instances in adults. There has been one report of recurrent spontaneous spinal epidural hematomas involving a child. Methods: This case report details the case of a 9year-old female with recurrent spontaneous spinal epidural hematomas who presented with one episode of lower extremity paresis and 2 years after first episode developed a recurrence hematoma causing cervical pain without motor deficit. The patient was operated and had a good outcome. Conclusion: Clinical signs such as severe pain and neurological worsening may represent a new episode of bleeding and should be promptly evaluated and if necessary operated again.

Spinal epidural hematoma in an infant patient: a differential diagnostic of spinal cord compression syndrome

“…Recurrence of spontaneous epidural hematomas is rare, has been described only in case reports, giving the necessity to been alert about its risk on any hematoma without significant trauma or any prior pathological condition , unlike its has been described to occur on a short period of time after the first bleeding episode , Amoreira and Sainz has described a rare case of spontaneous spinal hematoma recurrence after two years of follow up (15) , making very important that the patient and its family be informed about the risk of recurrence and the need of medical consultation if the symptoms return.…”