| Traumatic clivus epidural hematoma: case report and review of the literature. | |
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MedLine Citation:
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PMID: 16876630 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Bernardo Ratilal; Pedro Castanho; Carlos Vara Luiz; João Oliveira Antunes |
Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Surgical neurology Volume: 66 ISSN: 0090-3019 ISO Abbreviation: Surg Neurol Publication Date: 2006 Aug |
Date Detail:
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Created Date: 2006-07-31 Completed Date: 2006-09-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0367070 Medline TA: Surg Neurol Country: United States |
Other Details:
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Languages: eng Pagination: 200-2; discussion 202 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Hospital São José, Lisboa, Portugal. bratilal@yahoo.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cranial Fossa, Posterior Female Hematoma, Epidural, Cranial / diagnosis*, etiology*, therapy Humans Whiplash Injuries / complications* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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