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Case Reports
, 7 (2), 297-9

Spontaneous Ventral Spinal Epidural Hematoma in a Child: A Case Report and Review of Literature

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Case Reports

Spontaneous Ventral Spinal Epidural Hematoma in a Child: A Case Report and Review of Literature

Shailendra Ratre et al. J Neurosci Rural Pract.

Abstract

Spontaneous spinal epidural hematoma is very uncommon cause of spinal cord compression. It is extremely rare in children and is mostly located in dorsal epidural space. Ventral spontaneous spinal epidural hematoma (SSEH) is even rarer, with only four previous reports in childrens. We are reporting fifth such case in a 14 year old male child. He presented with history of sudden onset weakness and sensory loss in both lower limbs with bladder bowel involvment since 15 days. There was no history of trauma or bleeding diasthesis. On clinical examination he had spastic paraplegia. Magnetic resonance imaging (MRI) of dorsal spine was suggestive of ventral spinal epidural hematoma extending from first to sixth dorsal vertebrae. Laminectomy of fourth and fifth dorsal vertebrae and complete evacuation of hematoma was done on the same day of admission. Postoperatively the neurological status was same.

Keywords: Coagulopathies; epidural hematoma; spinal hematoma; spontaneous spinal hematoma.

Figures

Figure 1
Figure 1
(a) T1-weighted magnetic resonance imaging dorsal spine sagittal cuts, (b) T2-weighted sagittal cuts, (c and d) T2-weighted axial cuts showing a ventral spinal epidural hematoma extending from D1 to D6 vertebra and displacing and compressing the cord posteriorly
Figure 2
Figure 2
(a and b) T2-weighted postoperative magnetic resonance imaging dorsal spine sagittal cuts, (c and d) T2-weighted axial cuts showing laminectomy defect with complete evacuation of ventral epidural hematoma

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