Document Detail


Cervical epidural hematoma in children: a rare clinical entity. Case report and review of the literature.
MedLine Citation:
PMID:  16512657     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pediatric spinal epidural hematoma is a very rare clinicopathological entity. In the vast majority of cases, spinal epidural hematomas have a nonspecific clinical presentation; this, along with their rapid progression, makes their early diagnosis and prompt surgical evacuation critical. Magnetic resonance imaging is the neuroimaging modality of choice, whereas hemilaminectomy or laminectomy is the indicated surgical intervention. The outcome is good when hematoma evacuation is performed before the onset of complete sensorimotor paralysis. In this communication, the authors describe a 12-year-old girl with a traumatic acute cervical epidural hematoma. This lesion was successfully evacuated through a hemilaminectomy, and the patient had an excellent outcome. The pertinent literature is reviewed in terms of the incidence, origin, management, and prognosis of this rare and potentially disastrous clinical entity.
Authors:
Kostas N Fountas; Eftychia Z Kapsalaki; Joe Sam Robinson
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2006-02-15
Journal Detail:
Title:  Neurosurgical focus     Volume:  20     ISSN:  1092-0684     ISO Abbreviation:  Neurosurg Focus     Publication Date:  2006  
Date Detail:
Created Date:  2006-03-03     Completed Date:  2006-04-18     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896471     Medline TA:  Neurosurg Focus     Country:  United States    
Other Details:
Languages:  eng     Pagination:  E6     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Medical Center of Central Georgia, School of Medicine, Mercer University, Macon, Georgia, USA. knfountasmd@excite.com
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MeSH Terms
Descriptor/Qualifier:
Cervical Vertebrae / radiography
Child
Epidural Space*
Female
Hematoma / diagnosis,  etiology*,  surgery
Humans
Laminectomy
Magnetic Resonance Imaging
Neck Injuries / complications*
Spinal Diseases / etiology*
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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