Retroclival epidural hematomas: a clinical series

Neurosurgery
R Shane TubbsAaron A Cohen-Gadol

Abstract

Retroclival epidural hematomas (REDHs) are infrequently reported. To our knowledge, only 19 case reports exist in the literature. This study was performed to better elucidate this pathology. We prospectively collected data for all pediatric patients diagnosed with REDH from July 2006 through June 2009. Data included mechanism of injury, Glasgow Coma Scale score, neurological examination, treatment modality, and outcome. Magnetic resonance imaging was used to measure REDH dimensions. Eight children were diagnosed with REDH, and the hematomas were secondary to motor vehicle-related trauma in all cases. The mean age of patients was 12 years (range 4-17 years). The mean REDH height (craniocaudal) was 4.0 cm, and the mean thickness (dorsoventral) was 1.0 cm. At presentation, the mean Glasgow Coma Scale score was 8 (range 3-14), and there was no correlation between hematoma size and presenting symptoms. Two patients died soon after injury, and 2 additional patients had atlanto-occipital dislocation that required surgical intervention. No patient underwent surgical evacuation of the REDH. The mean follow-up was 14 months. At most recent follow-up, 4 patients are neurologically intact, 1 patient has a complete spinal cord injury, and 1...Continue Reading

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Citations

Dec 15, 2010·Neurosurgery·Damien Petit, Philippe Mercier
Jul 13, 2011·Surgical Neurology International·Muhammad Zubair TahirGohar Javed
Jan 29, 2014·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·June KoshyThangamadhan Bosemani
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Apr 28, 2016·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Ha Son NguyenSean Lew
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Jan 1, 2019·Case Reports in Orthopedics·Rebecca F LyonsColin G Murphy
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Feb 19, 2019·Pediatric Emergency Care·Yavuz SamanciSuat Erol Celik
Oct 31, 2019·Pediatric Emergency Care·Yavuz SamanciSuat Erol Celik
Apr 8, 2021·Journal of Craniovertebral Junction and Spine·Yusuf Sukru CaglarUmit Eroglu
Jun 16, 2021·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Mohammad A JamousYaman B Ahmed

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