Spontaneous Spinal Epidural Hematoma in an Infant : A Case Report and Review of the Literature
Journal of Korean Neurosurgical Society
; : 84-87, 2008.
Article
de En
| WPRIM
| ID: wpr-206934
Bibliothèque responsable:
WPRO
ABSTRACT
Spontaneous spinal epidural hematoma (SSEH) is rare in children, especially in infants, in whom only 12 cases have been reported. Because of the nonspecificity of presenting symptoms in children, the diagnosis may be delayed. We report herein a case of SSEH in a 20-month-old girl who initially presented with neck pain, and developed lower extremity motor weakness and symptoms of neurogenic bladder 2 weeks prior to admission. The magnetic resonance imaging showed an epidural mass lesion extending from C7 to T4, and the spinal cord was severely compressed by the mass. After emergency decompressive surgery the neurologic function was improved immediately. Two months after surgery, the neurological status was normal with achievement of spontaneous voiding. We suggest that surgical intervention can provide excellent prognosis in case of SSEH in infants, even if surgery delayed.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Pronostic
/
Accomplissement
/
Moelle spinale
/
Vessie neurologique
/
Imagerie par résonance magnétique
/
Cervicalgie
/
Membre inférieur
/
Hématome épidural rachidien
/
Urgences
/
Laminectomie
Type d'étude:
Prognostic_studies
Limites du sujet:
Child
/
Humans
/
Infant
langue:
En
Texte intégral:
Journal of Korean Neurosurgical Society
Année:
2008
Type:
Article