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Acta Neurochir (Wien) ; 159(8): 1571-1576, 2017 08.
Artigo em Inglês | MEDLINE | ID: mdl-28526902

RESUMO

Retroclival epidural haematoma (REDH) has been reported infrequently. It is a rare entity which is probably underdiagnosed. It is most commonly seen in the paediatric population and is generally associated with high-velocity injuries. We report three cases of paediatric patients diagnosed with REDHs: two of them secondary to high-energy trauma related to a motor-vehicle accident and the other a low-energy trauma after a slip while playing football. All three patients were managed conservatively by cervical immobilisation with favourable outcome. REDH is probably underdiagnosed by computed tomography scan. When the suspicion is high, sagittal reconstructions or magnetic resonance imaging should be considered to confirm the diagnosis. Usually, it is related to hyperflexion or hyperextension cervical injuries secondary to motor vehicle accident. However, it can also be observed in milder injuries.


Assuntos
Hematoma Epidural Craniano/diagnóstico por imagem , Acidentes de Trânsito , Traumatismos em Atletas , Criança , Hematoma Epidural Craniano/etiologia , Hematoma Epidural Craniano/terapia , Humanos , Imageamento por Ressonância Magnética , Masculino , Tomografia Computadorizada por Raios X/métodos
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