Spinal Epidural Hematomas in Fast Bowlers: Report of Two Unusual Cases

Nayil, Khursheed; Makhdoomi, Rumana; Tanki, Humam; Wani, Abrar Ahad

doi:10.1159/000367996

Cited by 1 publication

(2 citation statements)

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“…The clinical presentation of SEH without significant trauma in children is often nonspecific, including irritability, pain, torticollis, and neurological deficit [10][11][12][13][14][15]. In some cases, minimal cervical trauma precedes SEH [16,17].…”

Section: Introductionmentioning

confidence: 99%

“…Although surgery seems to be preferred to conservative treatment in adults, some factors are important in determining the choice of treatment: preoperative neurological status, coagulopathy and the length of SEH contribute to poor postoperative functional recovery. Literature on SEH without significant trauma in children is scarce [6,9,[11][12][13][20][21][22][23][24][25][26][27][28][29][30]. We report on two pediatric cases.…”

Section: Introductionmentioning

confidence: 99%

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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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