Spontaneous spinal epidural hematoma in an infant

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Ravindra Arya1, Puneet Jain, Atin Kumar

  • 1Division of Neurology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

Journal of Child Neurology
|March 22, 2012
PubMed

Insights

Spontaneous spinal epidural hematoma is a rare condition in infants. Early diagnosis and intervention are crucial for better outcomes in this pediatric neurological emergency.

Area of Science:

  • Pediatric Neurology
  • Neurosurgery
  • Radiology

Background:

  • Spontaneous spinal epidural hematoma (SSEH) is uncommon, particularly in infants.
  • The cervicothoracic region is the most frequent site of SSEH in pediatric cases.
  • Nonspecific clinical presentations often delay SSEH diagnosis in children.

Observation:

  • A 12-month-old girl presented with irritability and limb weakness.
  • Spinal MRI revealed a dorsal epidural hematoma at the C2-C5 level.
  • No predisposing factors for the hematoma were identified.

Findings:

  • The infant showed neurological recovery prior to presentation.
  • Conservative management was initiated for the spinal epidural hematoma.
  • This case highlights the importance of early recognition and intervention.

Implications:

  • Raising awareness of SSEH as a critical pediatric neurological emergency.
  • Emphasizing the potential for favorable functional outcomes with timely management.
  • Underscoring the role of advanced imaging in diagnosing spinal epidural hematoma.

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