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Spontaneous cervical spinal epidural hematoma in a 12-year-old girl: case report and review of the literature.

Gabriel C Tender1, Deepak Awasthi

  • 1Louisiana State University, New Orleans, USA.

The Journal of the Louisiana State Medical Society : Official Organ of the Louisiana State Medical Society
|September 16, 2004
PubMed
Summary
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Spontaneous spinal epidural hematomas are rare in children, often presenting as neck pain and quadriparesis. Prompt surgical decompression is crucial for recovery from cervical myelopathy caused by these hematomas.

Area of Science:

  • Neurology
  • Neurosurgery
  • Pediatric Medicine

Background:

  • Spinal epidural hematomas (SEH) are uncommon in pediatric patients.
  • Cervical SEH can lead to severe neurological deficits like quadriparesis.

Observation:

  • A 12-year-old girl presented with neck pain and progressive cervical myelopathy without trauma.
  • Magnetic resonance imaging confirmed a cervical spinal epidural hematoma compressing the spinal cord.

Findings:

  • Emergent surgical decompression effectively resolved the patient's symptoms.
  • Early diagnosis and intervention are key for favorable outcomes.

Implications:

  • Spinal epidural hematomas should be considered in pediatric patients with acute myelopathy.

Related Experiment Videos

  • Timely surgical decompression is vital for managing cervical spinal epidural hematomas and preventing permanent neurological damage.