Spontaneous spinal epidural hematoma in infants: A case report and review of the literature.

Surgical neurology international Pub Date : 2024-09-06 eCollection Date: 2024-01-01 DOI:10.25259/SNI_290_2024
Marouane Hammoud, Hmamouche Oualid Mohammed, Khalid Chakour, Mohammed El Faiz Chaoui
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Abstract

Background: Spontaneous spinal epidural hematomas (SSEHs) are exceedingly uncommon, especially in infants, with only two reported cases. Diagnosis can be delayed due to the nonspecificity of presenting symptoms.

Case report: We present a case of SSEH in a 10-month-old boy admitted to the pediatric emergency department with a 5-day history of progressive lower extremity motor weakness. There was no history of prior trauma. Magnetic resonance imaging of the spine revealed a posterior epidural hematoma extending from C7 to L4. After hematoma evacuation, the patient's neurological status gradually improved, and no sensorimotor deficit was present 3 weeks postoperatively.

Conclusion: Our case suggests that surgical intervention can lead to an excellent prognosis for SSEH in infants, even if the diagnosis is delayed.

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婴儿自发性脊柱硬膜外血肿:病例报告和文献综述。
背景:自发性脊柱硬膜外血肿(SSEHs)极为罕见,尤其是在婴儿中,仅有两例报道。由于出现的症状没有特异性,诊断可能会被延误:我们介绍了一例 10 个月大的男孩因进行性下肢运动无力 5 天后到儿科急诊就诊的 SSEH 病例。患儿既往无外伤史。脊柱磁共振成像显示,硬膜外后血肿从 C7 延伸至 L4。血肿清除后,患者的神经状况逐渐好转,术后3周未出现感觉运动障碍:结论:我们的病例表明,即使诊断延迟,手术干预也能为婴儿 SSEH 带来良好的预后。
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