Document Detail

Traumatic clivus epidural hematoma: case report and review of the literature.
MedLine Citation:
PMID:  16876630     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Traumatic clival epidural hematoma is an extremely rare reported entity. CASE DESCRIPTION: We describe the case of a 26-year-old woman involved in a car accident who presented with a Glasgow Coma Scale score of 13, bilateral abducens palsy, bilateral numbness on the mandibular territory of the trigeminal nerve, and left hypoglossal palsy. Radiological examinations revealed a clival epidural hematoma. The patient was managed conservatively, with clinical improvement of her neurological condition. This is the first traumatic clival epidural hematoma reported in an adult. From a review of the literature, we found only 8 cases. CONCLUSION: The pathophysiology of these hematomas is still a subject of debate; occipitoatlantoaxial ligamentous instability may play a role in it. In one third of the cases, bilateral cranial nerve palsies were associated. Apparently, they have a benign outcome.
Bernardo Ratilal; Pedro Castanho; Carlos Vara Luiz; João Oliveira Antunes
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Surgical neurology     Volume:  66     ISSN:  0090-3019     ISO Abbreviation:  Surg Neurol     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-07-31     Completed Date:  2006-09-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0367070     Medline TA:  Surg Neurol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  200-2; discussion 202     Citation Subset:  IM    
Department of Neurosurgery, Hospital São José, Lisboa, Portugal.
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MeSH Terms
Cranial Fossa, Posterior
Hematoma, Epidural, Cranial / diagnosis*,  etiology*,  therapy
Whiplash Injuries / complications*

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