Spontaneous spinal epidural hematoma in a toddler—a case report

Pai, S. Balaji; Maiya, P. P.

doi:10.1007/s00381-005-0002-6

Cited by 17 publications

(22 citation statements)

References 5 publications

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“…In our review of English literature, only eight cases below the age of 2 years had been reported with no age below the first year of life (Table 1). [4][5][6][7][8][9] The term 'crib death' has been used to describe sudden unexplained death of neonates. 10 In postmortem examination of infants with 'crib death', spinal epidural hematomas were the causal factor in 10% of cases.…”

Section: Discussionmentioning

confidence: 99%

“…[4][5][6][7][8][9] This region is more commonly affected as a result of significant disproportion of the weight ratio of the head to the body in pediatric population, in which the head proportion is larger and heavier than in adults. In addition, gaining the head control is an important neuromuscular development milestone during the first 4-6 months of life.…”

Section: Discussionmentioning

confidence: 99%

“…[8][9] The internal vertebral venous plexus is divided into anterior and posterior parts. 12 The anterior part runs fairly constant and is tightly attached to the posterior longitudinal ligament via Hofmann's liga- ments.…”

Section: Discussionmentioning

confidence: 99%

“…A summary of presenting symptoms and signs from the reported cases includes irritability, abdominal fullness and pain, neck pain, torticollis, rigid neck position, staggering gait, and fever. [4][5][6][7][8][9] The innumerable clinical presentations often result in delaying diagnosis. In our case, the infant initially presented with irritable crying, neck stiffness, and limited range of motion of the neck, followed by neurological deficit as showed by decrease in ability to roll over and decrease limb movements.…”

Section: Discussionmentioning

confidence: 99%

“…MRI is considered to be the diagnostic image modality of choice. 9,15 The signal intensity on T1-weighted and T2-weighted images varies with the age of hematoma. The former is useful in the follow-up evaluation and the latter is crucial in the diagnosis of SSEH as it provides more information for diagnosis and aides in the differentiation of epidural blood clot from a tumor.…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous spinal epidural hematoma in a 4-month-old infant

Lee

Huang

et al. 2006

Spinal Cord

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Study design: A case report and a review of literature. Objectives: To present the first youngest infant of a 4-month-old boy with spontaneous spinal epidural hematoma in cervicothoracic spine. Setting: National Cheng Kung University Hospital, Tainan, Taiwan. Methods: A 4-month-old boy who initially presented with irritable crying, neck stiffness, and fever followed by progressive quadriparesis. Magnetic resonance imaging (MRI) of the spine disclosed a space-occupying lesion on the right posterior-lateral aspect of the cervicothoracic spinal canal. Laminectomy with reconstruction in situ from C4 to T4 was performed 5 days after the onset of symptoms. Results: The boy had gradual improvement of his neurological status. Follow-up visit 1 year later, the infant's growth and development was within normal limit without any neurological deficits; his repeat MRI showed complete fusion of each implanted lamina and well expansion of the spinal cord. Conclusions: Prompt surgical decompression is valuable, irrespective of the time interval between symptom onset and operation in infant.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Spontaneous spinal epidural hematoma in a 4-month-old infant

Lee

Huang

et al. 2006

Spinal Cord

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Spinal epidural hematoma in hemophilic children: controversies in management

et al. 2009

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Spontaneous thoracic epidural hematoma: a case report and literature review

Babayev

Ekşi

2015

Childs Nerv Syst

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Spinal epidural hematoma is a rare neurosurgical emergency in respect of motor and sensory loss. Identifiable reasons for spontaneous hemorrhage are vascular malformations and hemophilias. We presented a case of spontaneous epidural hematoma in an 18-year-old female patient who had motor and sensory deficits that had been present for 1 day. On MRI, there was spinal epidural hematoma posterior to the T2-T3 spinal cord. The hematoma was evacuated with T2 hemilaminectomy and T3 laminectomy. Patient recovered immediately after the surgery. Literature review depicted 112 pediatric cases (including the presented one) of spinal epidural hematoma. The female/male ratio is 1.1:2. Average age at presentation is 7.09 years. Clinical presentations include loss of strength, sensory disturbance, bowel and bladder disturbances, neck pain, back pain, leg pain, abdominal pain, meningismus, respiratory difficulty, irritability, gait instability, and torticollis. Most common spinal level was cervicothoracic spine. Time interval from symptom onset to clinical diagnosis varied from immediate to 18 months. Spinal epidural hematoma happened spontaneously in 71.8 % of the cases, and hemophilia was the leading disorder (58 %) in the cases with a definable disorder. Partial or complete recovery is possible after surgical interventions and factor supplementations.

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Spontaneous spinal epidural hematoma in a toddler—a case report

Abstract: Although rare SSEDH requires immediate surgical decompression to avoid any permanent neurological deficit. Reconstructive surgical procedures like laminotomy are preferred in children where the incidence of spinal deformity is high following laminectomy.

Cited by 17 publications

References 5 publications

Spontaneous spinal epidural hematoma in a 4-month-old infant

Spontaneous spinal epidural hematoma in a 4-month-old infant

Spinal epidural hematoma in hemophilic children: controversies in management

Spontaneous thoracic epidural hematoma: a case report and literature review

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