A 2-year-old boy was brought to our emergency department for pain along the cervical spinal cord area, preventing normal movements of the trunk and causing difficulty walking. The pain started without any apparent precipitating factors. There was no history of trauma, although his parents reported a habit of somersaults. He was in distress, had truncal rigidity, and refused to walk. On exam, passive movements of the lower limbs were free, deep tendon reflexes were present, and neurologic findings were normal. Magnetic resonance imaging of the brain and spine showed an epidural hemorrhage along the clivus and ventral cervical spine (Figure), without active bleeding, excluding the need for surgery. During follow-up, we observed complete resolution of his symptoms in 3 days. Three weeks later, a follow-up magnetic resonance imaging showed complete resolution of the hematoma
Dal Bo S., Cenni P., Marchetti F. (2015). Retroclival hematoma. THE JOURNAL OF PEDIATRICS, 166(3), 773-773 [10.1016/j.jpeds.2014.12.034].
Retroclival hematoma
Marchetti F.Writing – Review & Editing
2015
Abstract
A 2-year-old boy was brought to our emergency department for pain along the cervical spinal cord area, preventing normal movements of the trunk and causing difficulty walking. The pain started without any apparent precipitating factors. There was no history of trauma, although his parents reported a habit of somersaults. He was in distress, had truncal rigidity, and refused to walk. On exam, passive movements of the lower limbs were free, deep tendon reflexes were present, and neurologic findings were normal. Magnetic resonance imaging of the brain and spine showed an epidural hemorrhage along the clivus and ventral cervical spine (Figure), without active bleeding, excluding the need for surgery. During follow-up, we observed complete resolution of his symptoms in 3 days. Three weeks later, a follow-up magnetic resonance imaging showed complete resolution of the hematomaI documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
