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Spontaneous spinal epidural hematoma in an infant : a case report and review of the literature.

Authors
Lim, JJ; Yoon, SH; Cho, KH; Kim, SH
Citation
Journal of Korean Neurosurgical Society, 44(2):84-87, 2008
Journal Title
Journal of Korean Neurosurgical Society
ISSN
2005-37111598-7876
Abstract
Spontaneous spinal epidural hematoma (SSEH) is rare in children, especially in infants, in whom only 12 cases have been reported. Because of the nonspecificity of presenting symptoms in children, the diagnosis may be delayed. We report herein a case of SSEH in a 20-month-old girl who initially presented with neck pain, and developed lower extremity motor weakness and symptoms of neurogenic bladder 2 weeks prior to admission. The magnetic resonance imaging showed an epidural mass lesion extending from C7 to T4, and the spinal cord was severely compressed by the mass. After emergency decompressive surgery the neurologic function was improved immediately. Two months after surgery, the neurological status was normal with achievement of spontaneous voiding. We suggest that surgical intervention can provide excellent prognosis in case of SSEH in infants, even if surgery delayed.
DOI
10.3340/jkns.2008.44.2.84
PMID
19096698
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Neurosurgery
AJOU Authors
윤수한조기홍김상현
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