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...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2013-01-01
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| Series: | Journal of Craniovertebral Junction and Spine |
| Subjects: | |
| Online Access: | http://www.jcvjs.com/article.asp?issn=0974-8237;year=2013;volume=4;issue=1;spage=37;epage=39;aulast=Rangarajan |
| _version_ | 1819170939639693312 |
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| author | Vithal Rangarajan Sandip B Mavani Trimurti D Nadkarni Atul H Goel |
| author_facet | Vithal Rangarajan Sandip B Mavani Trimurti D Nadkarni Atul H Goel |
| author_sort | Vithal Rangarajan |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-22T19:43:22Z |
| format | Article |
| id | doaj.art-736a75d5d977449bbf69c841ecc74c89 |
| institution | Directory Open Access Journal |
| issn | 0974-8237 |
| language | English |
| last_indexed | 2024-12-22T19:43:22Z |
| publishDate | 2013-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Craniovertebral Junction and Spine |
| spelling | doaj.art-736a75d5d977449bbf69c841ecc74c892022-12-21T18:14:45ZengWolters Kluwer Medknow PublicationsJournal of Craniovertebral Junction and Spine0974-82372013-01-0141373910.4103/0974-8237.121624Traumatic cervical epidural hematoma in an infantVithal RangarajanSandip B MavaniTrimurti D NadkarniAtul H GoelAn 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.http://www.jcvjs.com/article.asp?issn=0974-8237;year=2013;volume=4;issue=1;spage=37;epage=39;aulast=RangarajanCervical epidural hematomacervical traumatraumatic spinal hematoma |
| spellingShingle | Vithal Rangarajan Sandip B Mavani Trimurti D Nadkarni Atul H Goel Traumatic cervical epidural hematoma in an infant Journal of Craniovertebral Junction and Spine Cervical epidural hematoma cervical trauma traumatic spinal hematoma |
| 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 | Cervical epidural hematoma cervical trauma traumatic spinal hematoma |
| url | http://www.jcvjs.com/article.asp?issn=0974-8237;year=2013;volume=4;issue=1;spage=37;epage=39;aulast=Rangarajan |
| work_keys_str_mv | AT vithalrangarajan traumaticcervicalepiduralhematomainaninfant AT sandipbmavani traumaticcervicalepiduralhematomainaninfant AT trimurtidnadkarni traumaticcervicalepiduralhematomainaninfant AT atulhgoel traumaticcervicalepiduralhematomainaninfant |