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Traumatic Retroclival Epidural Hematoma.
Yavuz Samanci1, Ismet Baskurt2, Suat Erol Celik3
1From the Neurosurgery Clinic, Istanbul Training and Research Hospital.
Pediatric Emergency Care
|October 9, 2019
Summary
Retroclival epidural hematomas are rare pediatric injuries, often from severe neck trauma. This case highlights successful conservative management for a 7-year-old girl with a traumatic retroclival epidural hematoma.
Area of Science:
- Pediatric Neurosurgery
- Trauma Management
Background:
- Retroclival epidural hematomas (REH) are rare, particularly in children.
- Often associated with high-energy neck injuries, specifically hyperflexion-hyperextension trauma.
Observation:
- A 7-year-old girl presented after a fall with severe neck pain and limited movement.
- Glasgow Coma Scale score was 15, indicating no initial altered consciousness.
- Radiological imaging confirmed a traumatic retroclival epidural hematoma.
Findings:
- The patient was managed conservatively without surgical intervention.
- Conservative treatment resulted in a good clinical recovery.
Implications:
- Conservative management can be effective for pediatric retroclival epidural hematomas.
- REH should be considered in pediatric neck trauma, even with seemingly minor mechanisms.
- Early diagnosis and appropriate management are crucial for favorable outcomes in pediatric REH.
