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Traumatic retroclival epidural hematoma—a pediatric entity?

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Abstract

Background

Traumatic retroclival epidural hematoma is very rare and only a few cases are described in literature. All previous cases occurred in the pediatric population and were classically seen in pedestrians or cyclists hit by speeding motor vehicles. It is probable that horizontal articulation between the cranium and the atlas and ligamentous laxity at the craniocervical junction in this age group predispose them to ligamentous injury at the craniospinal junction and formation of retroclival hematoma. MRI or three-dimensional reconstructed CT is considered essential for diagnosing this condition. Conservative treatment is an option if neurological deficits are mild and brainstem compression is not significant. Bony fixation is, however, required if there is suspicion of instability.

Case Report

The authors describe the case of an 8-year-old girl who developed traumatic retroclival epidural hematoma after a motor vehicle accident and who was managed conservatively with good recovery.

Conclusion

This case and the review of literature suggest that retroclival epidural hematoma is a pediatric entity usually associated with ligamental injury at the craniocervical junction.

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References

  1. Bucholz RW, Burkhead WZ (1979) The pathological anatomy of fatal atlanto-occipital dislocations. J Bone Joint Surg Am 61:248–250

    PubMed  CAS  Google Scholar 

  2. Kaufman RA, Carroll CD, Buncher CR (1987) Atlantooccipital junction: standards for measurement in normal children. AJNR 8:995–999

    PubMed  CAS  Google Scholar 

  3. Kurosu A, Amano K, Kubo O, Himuro H, Nagao T, Kobayashi N, Kakinoki Y, Kitamura K (1990) Clivus epidural hematoma. Case report. J Neurosurg 72:660–662

    Article  PubMed  CAS  Google Scholar 

  4. Marks SM, Paramaraswaren RN, Johnston RA (1997) Transoral evacuation of a clivus extradural haematoma with good recovery: a case report. Br J Neurosurg 11:245–247

    Article  PubMed  CAS  Google Scholar 

  5. Mizushima H, Kobayashi N, Sawabe Y, Hanakawa K, Jinbo H, Iida M, Iwata T, Matsumoto K (1998) Epidural hematoma of the clivus. Case report. J Neurosurg 88:590–593

    Article  PubMed  CAS  Google Scholar 

  6. Orrison WW, Rogde S, Kinard RE, Williams JE, Torvik A, Sackett JF, Amundsen P (1986) Clivus epidural hematoma: a case report. Neurosurgery 18:194–196

    Article  PubMed  CAS  Google Scholar 

  7. Papadopoulos SM, Dickman CA, Sonntag VK, Rekate HL, Spetzler RF (1991) Traumatic atlantooccipital dislocation with survival. Neurosurgery 28:574–579

    Article  PubMed  CAS  Google Scholar 

  8. Suliman HM, Merx HL, Wesseling P, van der Sluijs B, Vos PE, Thijssen HO (2001) Retroclival extradural hematoma is a magnetic resonance imaging diagnosis. J Neurotrauma 18:1289–1293

    Article  PubMed  CAS  Google Scholar 

  9. Yang BP (2003) Traumatic retroclival epidural hematoma in a child. Pediatr Neurosurg 39:339–340

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Pediatric Neurosurgery, Department of Pediatric Surgery, British Columbia’s Children’s Hospital, Children’s and Women’s Health Centre, 4480 Oak St, #K3-159, Vancouver, British Columbia, V6H 3V4, Canada

    Deepak Agrawal & D. Douglas Cochrane

  2. Division of Neurosurgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada

    D. Douglas Cochrane

Authors
  1. Deepak Agrawal
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  2. D. Douglas Cochrane
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Correspondence to D. Douglas Cochrane.

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Agrawal, D., Cochrane, D.D. Traumatic retroclival epidural hematoma—a pediatric entity?. Childs Nerv Syst 22, 670–673 (2006). https://doi.org/10.1007/s00381-006-0059-x

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  • DOI: https://doi.org/10.1007/s00381-006-0059-x

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