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

Lee, Chi Hyung; Song, Geun Sung; Kim, Young Ha; Son, Dong Wuk; Lee, Sang Weon

doi:10.14245/kjs.2016.13.3.167

Cited by 5 publications

(3 citation statements)

References 19 publications

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“…The pediatric case (case 5) was initially misdiagnosed and treated as Guillain-Barré syndrome (GBS). SSEH can develop in infants and children as well as adults 16 , and there are a few reports wherein SSEH in pediatric patients was misdiagnosed as GBS 17,18 . The authors of these cases indicated the similarity of initial symptoms in SCEH and GBS of progressive palsy in the limbs.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Cervical Epidural Hematoma Presenting with Respiratory Failure

Ohno,

Fujishiro,

Hayama

et al. 2023

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Case: A 62-year-old woman who had an unremarkable medical history presented with sudden headache and neck pain. After the presentation, complete quadriplegia and respiratory arrest developed, and the patient was urgently intubated. Magnetic resonance imaging revealed an extensive epidural hematoma (EH), and emergency hematoma evacuation was performed. At the 1-year follow-up visit, the patient had no motor deficits. Conclusion: We reported a case of spontaneous cervical EH presenting with respiratory failure that was successfully treated with surgical management. Literature review has shown that the surgical outcome is very poor; nevertheless, prompt surgical decompression of the spinal cord can minimize neurological sequelae.

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Section: Discussionmentioning

confidence: 99%

Spontaneous Cervical Epidural Hematoma Presenting with Respiratory Failure

Ohno,

Fujishiro,

Hayama

et al. 2023

JBJS Case Connector

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“…Laminectomies were the surgical interventions of choice, and most tried conservative therapy before surgery. Of the surgical cases, six (50%) were neurologically intact after surgery [27][28][29][30][31][32], four (33%) had a neurological sequela [33][34][35][36], and two (17%) died [37,38]. The conservative approach was chosen for 21 patients, from which 19 (90%) were neurologically intact after intervention with factor replacement [5,8,23,30,[39][40][41][42][43][44][45][46][47][48][49][50][51][52], two (10%) had some kind of sequela, and none died [10,53].…”

Section: Discussionmentioning

confidence: 99%

Spinal epidural hematoma in a child with hemophilia A with high titer inhibitors and follow-up with prophylactic emicizumab: case report and literature review

Villarreal‐Martínez

Sepúlveda-Orozco

García-Viera³

et al. 2021

Blood Coagulation &Amp; Fibrinolysis

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Hemorrhage in the central nervous system is the most severe and debilitating manifestation affecting patients with hemophilia A. The spinal epidural space is the most unusual and clinically challenging site of central nervous system hemorrhage in hemophilia A. These patients often show insidious neurological signs and symptoms that delay diagnosis and treatment. We share our experience treating a 4-year-old male patient with severe hemophilia A and high titer inhibitors with a spontaneous spinal epidural hematoma. The patient presented initially with intense headache and neck pain. After blood tests and imaging studies, bypassing agent therapy with recombinant-activated factor VII was used until discharge; this was later replaced with emicizumab. After 18 months, the patient is without neurological sequelae and has not experienced subsequent bleeding episodes. We review the available literature and discuss the relevance of emicizumab compared with standard therapies in the context of spontaneous spinal epidural hematoma.

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“…GBS is an inflammatory demyelinating polyradiculopathy, characterized by acute areflexic paralysis and demyelinating changes in the peripheral nervous system. The majority of cases are preceded by upper respiratory infection or diarrhea, with the most frequently identified infectious agent being Campylobacter jejuni, followed by cytomegalovirus 6 , 8 , 10) . The main feature of GBS is progressive bilateral and relatively symmetric weakness of the limbs, with the weakness progressing over a period of 12 hours to 28 days before a plateau is reached 15) .…”

Section: Discussionmentioning

confidence: 99%

Posttraumatic Guillain-Barré Syndrome Immediately Following a Traffic Accident

et al. 2017

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Guillain-Barré syndrome (GBS) is an inflammatory demyelinating polyneuropathy characterized by areflexic paralysis. Most cases of GBS are preceded by an infection, however, posttraumatic GBS has also recently been reported. We report a case of posttraumatic GBS immediately following a traffic accident. We think this case is of clinical significance for practitioners because of the rare cause of a sudden flaccid paralysis following trauma.

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

Cited by 5 publications

References 19 publications

Spontaneous Cervical Epidural Hematoma Presenting with Respiratory Failure

Spontaneous Cervical Epidural Hematoma Presenting with Respiratory Failure

Spinal epidural hematoma in a child with hemophilia A with high titer inhibitors and follow-up with prophylactic emicizumab: case report and literature review

Posttraumatic Guillain-Barré Syndrome Immediately Following a Traffic Accident

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