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Spontaneous epidural spinal haematoma in children caused by vascular malformations

Ramanan Sivakumaran1,2, Andrew King3, Istvan Bodi3

  • 1Department of Neurosurgery, King's College Hospital, London, UK. ramsivakumaran@doctors.org.uk.

European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society
|October 11, 2014
PubMed

Insights

Spinal epidural hematomas are rare in children. This study identifies arteriovenous malformations as a cause in two pediatric cases, offering crucial clinico-pathological insights.

Area of Science:

  • Pediatric Neurology
  • Vascular Malformations
  • Neurosurgery

Background:

  • Spinal epidural hematoma (SEH) is uncommon in pediatric populations.
  • Spontaneous SEH in children is exceptionally rare, with few documented cases linked to underlying vascular abnormalities.

Observation:

  • This study retrospectively reviewed two pediatric cases (<15 years) presenting with spontaneous SEH.
  • Both cases revealed underlying arteriovenous malformations (AVMs) as the causative factor.

Findings:

  • Intra-operative photographs and histological sections confirmed the presence of AVMs in both pediatric patients.
  • This represents the first documented instances of spontaneous pediatric SEH with confirmed underlying AVMs and detailed clinico-pathological correlation.

Implications:

  • Highlights the importance of investigating vascular anomalies in pediatric spontaneous SEH.
  • Contributes essential clinico-pathological data for understanding rare pediatric neurological conditions.
  • Informs diagnostic and surgical approaches for managing spontaneous SEH in children.
Abstract

Keywords:
ArteriovenousChildrenEpiduralHaematomaMalformationSpinal

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