Abstract
An 11-year-old girl presented with a very rare traumatic retroclival epidural hematoma manifesting as bilateral abducens nerve palsy, deviation of the uvula to the left, and weakened movement of tongue, which developed after a motor vehicle accident. The patient was treated conservatively and showed good outcome. Retroclival hematoma is a mainly pediatric entity usually associated with ligamentous injury at the craniocervical junction, and can be treated conservatively with good outcome.
MeSH terms
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Abducens Nerve Injury / etiology
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Abducens Nerve Injury / pathology
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Abducens Nerve Injury / physiopathology
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Accidents, Traffic
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Atlanto-Axial Joint / diagnostic imaging
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Atlanto-Axial Joint / injuries
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Atlanto-Axial Joint / pathology
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Atlanto-Occipital Joint / diagnostic imaging
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Atlanto-Occipital Joint / injuries
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Atlanto-Occipital Joint / pathology
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Child
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Cranial Fossa, Posterior / diagnostic imaging
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Cranial Fossa, Posterior / injuries*
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Cranial Fossa, Posterior / pathology
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Cranial Nerve Diseases / diagnostic imaging
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Cranial Nerve Diseases / etiology*
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Cranial Nerve Diseases / pathology
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Dura Mater / diagnostic imaging
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Dura Mater / injuries
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Dura Mater / pathology
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Dysarthria / etiology
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Dysarthria / pathology
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Dysarthria / physiopathology
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Female
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Head Injuries, Closed / complications*
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Hematoma, Epidural, Cranial / complications*
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Hematoma, Epidural, Cranial / diagnostic imaging
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Hematoma, Epidural, Cranial / pathology
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Humans
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Hypoglossal Nerve / diagnostic imaging
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Hypoglossal Nerve / pathology
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Hypoglossal Nerve Injuries
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Magnetic Resonance Imaging
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Medulla Oblongata / diagnostic imaging
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Medulla Oblongata / injuries*
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Medulla Oblongata / pathology
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Palate / innervation
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Palate / physiopathology
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Prognosis
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Recovery of Function / physiology
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Spinal Cord Injuries / diagnostic imaging
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Spinal Cord Injuries / etiology*
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Spinal Cord Injuries / pathology
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Tectorial Membrane / diagnostic imaging
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Tectorial Membrane / injuries
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Tectorial Membrane / pathology
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Tomography, X-Ray Computed
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Tongue / innervation
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Tongue / physiopathology
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Vagus Nerve / diagnostic imaging
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Vagus Nerve / pathology
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Vagus Nerve Injuries