Cervical epidural hematoma: case report

Srp Arh Celok Lek. 2014 Sep-Oct;142(9-10):589-91. doi: 10.2298/sarh1410589n.

Abstract

Introduction: Cervical epidural hematoma is a rare phenomenon in children. MRI scan of the cervical spine is the method of choice in establishing diagnosis and a quick evacuation of hematoma and de- compression.

Case outline: We present a case of 11-year-old boy whose lower extremities were paralysed after a trivial injury of the cervical spine which he sustained while playing. Seven days after the injury, severe clinical symptoms appeared, and MRI of the spine showed the presence of cervical epidural hematoma.

Conclusion: Cervical epidural hematoma in children is very rare. Adequate neurological examination, di- agnostics and urgent surgical intervention are of paramount importance for accomplishing good results. Early and persistent rehabilitation are the condition for achieving maximal recovery.

MeSH terms

  • Cervical Vertebrae
  • Child
  • Hematoma, Epidural, Spinal / diagnostic imaging*
  • Hematoma, Epidural, Spinal / therapy
  • Humans
  • Magnetic Resonance Imaging*
  • Male
  • Neck