Rapid Spontaneous Remission of a Spontaneous Spinal Chronic Subdural Hematoma in a Child -Case Report-

Abstract

A 13-year-old boy presented with a rare spontaneous spinal chronic subdural hematoma (SCSDH) with no associated trauma or medical problems manifesting as back and bilateral lower extremity pain persisting for 10 days. Neurological examination revealed mild weakness and paresthesia in both lower extremities. Magnetic resonance (MR) imaging performed 1 week after the appearance of symptoms revealed a chronic subdural hematoma at the thoracolumbosacral region. Follow-up MR imaging performed 1 week later showed significant resolution of the hematoma without the need for surgery. The patient was discharged with only conservative management. This case of spontaneous SCSDH with rapid spontaneous remission in a child not associated with coagulopathy indicates that aggressive surgical treatment should be delayed as long as possible in pediatric patients because the spinal structure is still developing.

Primary Involvement of allografted liver in Post-Transplant Lymphoproliferative Disorders, Report of Two Pediatric cases and Review of the Literature

“…PTLD in OLT patients typically presents as a systemic illness with rare presentation in the hepatic graft (4). PTLD in the allografted liver as a part of systemic disease or alone has been reported from 0 to 8% in pediatric group from different centers (5-7). Therefore, it seems that liver localized PTLD as the first presentation in pediatric age group is rare (2).…”

Recovery after Delayed Surgery in a Case of Spinal Subdural Hematoma

“…Rarely, the onset can be spontaneous. As a matter of fact, only 6 cases of spontaneous SCSH are reported in the literature [1, 2]. In case of spontaneous occurrence, the therapeutic attitude is not well defined and universally accepted.…”