Traumatic retroclival epidural hematoma in a child: case report

Neurol Med Chir (Tokyo). 2008 Aug;48(8):347-50. doi: 10.2176/nmc.48.347.

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.

Publication types

  • Case Reports

MeSH terms

  • Abducens Nerve Injury / etiology
  • Abducens Nerve Injury / pathology
  • Abducens Nerve Injury / physiopathology
  • Accidents, Traffic
  • Atlanto-Axial Joint / diagnostic imaging
  • Atlanto-Axial Joint / injuries
  • Atlanto-Axial Joint / pathology
  • Atlanto-Occipital Joint / diagnostic imaging
  • Atlanto-Occipital Joint / injuries
  • Atlanto-Occipital Joint / pathology
  • Child
  • Cranial Fossa, Posterior / diagnostic imaging
  • Cranial Fossa, Posterior / injuries*
  • Cranial Fossa, Posterior / pathology
  • Cranial Nerve Diseases / diagnostic imaging
  • Cranial Nerve Diseases / etiology*
  • Cranial Nerve Diseases / pathology
  • Dura Mater / diagnostic imaging
  • Dura Mater / injuries
  • Dura Mater / pathology
  • Dysarthria / etiology
  • Dysarthria / pathology
  • Dysarthria / physiopathology
  • Female
  • Head Injuries, Closed / complications*
  • Hematoma, Epidural, Cranial / complications*
  • Hematoma, Epidural, Cranial / diagnostic imaging
  • Hematoma, Epidural, Cranial / pathology
  • Humans
  • Hypoglossal Nerve / diagnostic imaging
  • Hypoglossal Nerve / pathology
  • Hypoglossal Nerve Injuries
  • Magnetic Resonance Imaging
  • Medulla Oblongata / diagnostic imaging
  • Medulla Oblongata / injuries*
  • Medulla Oblongata / pathology
  • Palate / innervation
  • Palate / physiopathology
  • Prognosis
  • Recovery of Function / physiology
  • Spinal Cord Injuries / diagnostic imaging
  • Spinal Cord Injuries / etiology*
  • Spinal Cord Injuries / pathology
  • Tectorial Membrane / diagnostic imaging
  • Tectorial Membrane / injuries
  • Tectorial Membrane / pathology
  • Tomography, X-Ray Computed
  • Tongue / innervation
  • Tongue / physiopathology
  • Vagus Nerve / diagnostic imaging
  • Vagus Nerve / pathology
  • Vagus Nerve Injuries