Document Detail

Traumatic clival subdural hematoma in an adult.
MedLine Citation:
PMID:  19025356     Owner:  NLM     Status:  MEDLINE    
Retroclival hematomas are a rare entity. They are usually associated with significant trauma, and patients frequently have focal neurological deficits, especially cranial nerve palsies. Previous case reports of epidural clival hematomas have been described almost exclusively in the pediatric population. The authors report a unique case of traumatic clival subdural hematoma, which has never been described in an adult except in the context of hemophilia. An 18-year-old man presented with continuing nausea and headaches following a seemingly trivial head injury. He was found to have a posterior fossa retroclival hematoma extending into the spinal subdural space but without any neurological deficits. He was treated conservatively, with a good outcome. The authors discuss the possible mechanisms of injury, management, and complications related to this rare condition, and they review the pertinent literature.
David Casey; Bedansh Roy Chaudhary; Paul A Leach; Amit Herwadkar; Konstantina Karabatsou
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  110     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-06-02     Completed Date:  2009-07-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1238-41     Citation Subset:  AIM; IM    
Departments of Neurosurgery, Salford Royal Foundation Trust, Manchester, United Kingdom.
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MeSH Terms
Cranial Fossa, Posterior / injuries*
Hematoma, Subdural, Intracranial / diagnosis*,  etiology*,  therapy

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