Clinical course of spontaneous spinal epidural haematoma mimicking Guillain-Barré syndrome in a child: a case report and literature review

Çakır, Ertuğrul; Karaarslan, Gökalp; Usul, Haydar; Baykal, Süleyman; Kuzeylı, Kayhan; Mungan, İlke; Yazar, Uğur; Peksoylu, Bekircan; Aynaci, Müjgan; Çakir, Feraye

doi:10.1017/s001216220400146x

Cited by 10 publications

(10 citation statements)

References 42 publications

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“…There are several reports of SSEH mimicking meningitis, subarachnoid hemorrhage, GBS and even stroke5101315). Although paraparesis or tetraparesis is a common symptom of cervical SSEH, hemiparesis can also be presented when the hematoma compresses the unilateral corticospinal tract.…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous Spinal Epidural Hematoma Coexisting Guillan-Barré Syndrome in a Child: A Case Report

et al. 2016

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Spontaneous spinal epidural hematoma (SSEH) has been reported as a rare cause of spinal cord compression, especially in children. Clinical features are usually nonspecific, although cervicothoracic location of hematoma could be presented with progressive paraplegia. Guillian-Barré syndrome (GBS) is clinically defined as an acute peripheral neuropathy causing progressive limb weakness. Because SSEH and GBS have very similar signs and symptoms, SSEH could be misdiagnosed as GBS. Nevertheless, they can be presented together. We describe a rare case of SSEH coexisting with GBS.

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Section: Discussionmentioning

confidence: 99%

“…The SSEH located at the cervicothoracic junction, as in this case, may be presented with progressive paraplegia and neck pain. Cakir et al5) described a case of SSEH mimicking GBS in a child.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Spinal Epidural Hematoma Coexisting Guillan-Barré Syndrome in a Child: A Case Report

et al. 2016

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“…In experienced hands, the clinical diagnosis is rarely incorrect; however, the consequences of missing other potential diagnoses such as cord compression or transverse myelitis can be catastrophic. Multiple reports of such errors exist, 8–12 and any test that improves diagnostic accuracy, even by a small margin, warrants consideration. The advantage of spinal MRI is that not only does post‐gadolinium nerve root enhancement on T1‐weighted imaging support the clinical diagnosis of GBS, but exclusion of important differential diagnoses is achieved 6,7,13–18 .…”

Section: Discussionmentioning

confidence: 99%

Investigation of suspected Guillain–Barre syndrome in childhood: What is the role for gadolinium enhanced magnetic resonance imaging of the spine?

Smith¹,

Pereira

Grattan-Smith

2014

J Paediatrics Child Health

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Nerve conduction studies are the recognised 'gold standard' technique for confirming a clinical diagnosis of Guillain-Barre syndrome. In this study, a high positive rate was demonstrated. While more experience is necessary, this study and the literature support gadolinium enhanced magnetic resonance imaging of the spine as a valuable, although not necessarily superior, investigation in the diagnosis of Guillain-Barre syndrome. It may be of particular benefit when specialist neurophysiology expertise is unavailable.

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“…Most cases manifest with acute onset pain at the level of the hematoma and sensorimotor deficit with or without bladder and/or intestinal disturbances [3]. Various etiologies, such as coagulation disorders and vascular malformations have been described [3][4][5][6][7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Spinal epidural hematoma without significant trauma in children: two case reports and review of the literature

et al. 2020

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Background: Spinal epidural hematoma without significant trauma is a rare condition with potentially severe outcome. This case report and systematic review of the literature illustrates the clinical presentation, risk factors, evaluation, treatment and outcomes of spinal epidural hematoma without significant trauma in children. Case presentation: We report one case of a 7-year-old girl who developed a neck pain after minor cervical sprain. MRI showed a right posterior epidural hematoma extending from C2/3 to T1. The hematoma was surgically evacuated, and the histopathology showed an arteriovenous malformation. Postoperative MRI showed complete evacuation of the hematoma and no residual vascular malformation. We report a second ASE with idiopathic spinal epidural hematoma of a 4½-year-old boy presenting with neck pain. MRI showed a right-sided latero-posterior subacute spinal epidural hematoma at C3-C5. Owing to the absence of any neurological deficit, the patient was treated conservatively. MRI at 3 months showed complete resolution of the hematoma. Conclusions: Spinal epidural hematoma without significant trauma in children is a rare condition. It may present with unspecific symptoms. Screening for bleeding diathesis is warranted and neuroradiologic follow-up is essential to rule out vascular malformation. Whereas most children have a favorable outcome, some do not recover, and neurological follow-up is required.

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Clinical course of spontaneous spinal epidural haematoma mimicking Guillain-Barré syndrome in a child: a case report and literature review

Cited by 10 publications

References 42 publications

Spontaneous Spinal Epidural Hematoma Coexisting Guillan-Barré Syndrome in a Child: A Case Report

Spontaneous Spinal Epidural Hematoma Coexisting Guillan-Barré Syndrome in a Child: A Case Report

Investigation of suspected Guillain–Barre syndrome in childhood: What is the role for gadolinium enhanced magnetic resonance imaging of the spine?

Spinal epidural hematoma without significant trauma in children: two case reports and review of the literature

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