PMID: 9436801Jan 22, 1998Paper

Spontaneous epidural hematoma as a cause of sciatic pain in a schoolboy

Pediatric Neurology
E M Kotilainen, O Pajulo

Abstract

A previously healthy 13-year-old boy began to manifest radiating pain in his left leg after heavy physical exertion during judo training. He also had a sensation of numbness in his left buttock and leg. Initially, the patient was treated conservatively with a clinical diagnosis of disc herniation. However, following 3 months of conservative treatment, there was no relief of pain. Magnetic resonance imaging of the lumbar spine demonstrated an epidural mass causing compression of the dural sac at the L4-L5 disc level. During surgery, the L5 nerve root was found to be severely compressed in the spinal canal because of a chronic epidural hematoma. Following microsurgical removal of this hematoid mass, the patient had a good recovery. Spontaneous epidural hematomas in the lumbar region are rare, and only a few cases presenting with features simulating those caused by a disc herniation have been reported. Our patient represents the first such case described in a child.

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Citations

Oct 28, 2009·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Silvio SarubboMichele Alessandro Cavallo
Dec 24, 2005·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Chun-Fu HsiehAntonio Leo Te
Apr 20, 2006·Journal of Neurosurgery·Pramod Janardhan GiriVijendra Kumar Jain
Feb 9, 2018·Neurologia Medico-chirurgica·Toshiyuki OkazakiKoji Saito

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