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Traumatic cervical epidural hematoma in an infant

An 8-month-old male infant had presented with a history of a fall from the crib a fortnight ago. He had developed progressive weakness of both lower limbs. On examination, the infant had spastic paraplegia. Magnetic resonance (MR) imaging of the cervical spine showed an epidural hematoma extending f...

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Autores principales: Rangarajan, Vithal, Mavani, Sandip B, Nadkarni, Trimurti D, Goel, Atul H
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3872661/
https://www.ncbi.nlm.nih.gov/pubmed/24381456
http://dx.doi.org/10.4103/0974-8237.121624
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author Rangarajan, Vithal
Mavani, Sandip B
Nadkarni, Trimurti D
Goel, Atul H
author_facet Rangarajan, Vithal
Mavani, Sandip B
Nadkarni, Trimurti D
Goel, Atul H
author_sort Rangarajan, Vithal
collection PubMed
description An 8-month-old male infant had presented with a history of a fall from the crib a fortnight ago. He had developed progressive weakness of both lower limbs. On examination, the infant had spastic paraplegia. Magnetic resonance (MR) imaging of the cervical spine showed an epidural hematoma extending from the fourth cervical (C4) to the first dorsal (D1) vertebral level with cord compression. The patient had no bleeding disorder on investigation. He underwent cervical laminoplasty at C6 and C7 levels. The epidural hematoma was evacuated. The cervical cord started pulsating immediately. Postoperatively, the patient's paraplegia improved dramatically in 48 hours. According to the author's literature search, only seven cases of post-traumatic epidural hematoma have been reported in pediatric patients, and our patient is the youngest. The present case report discusses the etiopathology, presentation, and management of this rare case.
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spelling pubmed-38726612013-12-31 Traumatic cervical epidural hematoma in an infant Rangarajan, Vithal Mavani, Sandip B Nadkarni, Trimurti D Goel, Atul H J Craniovertebr Junction Spine Case Report An 8-month-old male infant had presented with a history of a fall from the crib a fortnight ago. He had developed progressive weakness of both lower limbs. On examination, the infant had spastic paraplegia. Magnetic resonance (MR) imaging of the cervical spine showed an epidural hematoma extending from the fourth cervical (C4) to the first dorsal (D1) vertebral level with cord compression. The patient had no bleeding disorder on investigation. He underwent cervical laminoplasty at C6 and C7 levels. The epidural hematoma was evacuated. The cervical cord started pulsating immediately. Postoperatively, the patient's paraplegia improved dramatically in 48 hours. According to the author's literature search, only seven cases of post-traumatic epidural hematoma have been reported in pediatric patients, and our patient is the youngest. The present case report discusses the etiopathology, presentation, and management of this rare case. Medknow Publications & Media Pvt Ltd 2013 /pmc/articles/PMC3872661/ /pubmed/24381456 http://dx.doi.org/10.4103/0974-8237.121624 Text en Copyright: © Journal of Craniovertebral Junction and Spine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Rangarajan, Vithal
Mavani, Sandip B
Nadkarni, Trimurti D
Goel, Atul H
Traumatic cervical epidural hematoma in an infant
title Traumatic cervical epidural hematoma in an infant
title_full Traumatic cervical epidural hematoma in an infant
title_fullStr Traumatic cervical epidural hematoma in an infant
title_full_unstemmed Traumatic cervical epidural hematoma in an infant
title_short Traumatic cervical epidural hematoma in an infant
title_sort traumatic cervical epidural hematoma in an infant
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3872661/
https://www.ncbi.nlm.nih.gov/pubmed/24381456
http://dx.doi.org/10.4103/0974-8237.121624
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