Spontaneous spinal epidural haematoma in a 15-month-old boy presenting with a wry neck: a case report.

Abstract:

:A 15-month-old boy presented with a 2-day history of a wry neck (bent to the left side) with no definite trauma. He had bilateral upper limb weakness and was afebrile, conscious, and stable. There was no spontaneous movement in both upper limbs. Magnetic resonance imaging of the cervical and thoracic spine demonstrated an extensive spontaneous spinal epidural haematoma from C3 to T8. 23 hours after admission, the patient underwent an emergency right-sided C3 to T8 hemi-laminectomy and haematoma evacuation. The patent's strength gradually recovered and he attained full power 3 weeks after operation. Spontaneous spinal epidural haematoma is a rare disease in children. A high index of suspicion is essential for its effective management as the interval to operation is the most important prognostic factor.

authors

Fok WM,Sun LK,Wong NM,Lau PY,Cheung HM

doi

10.1177/230949900701500327

subject

Has Abstract

pub_date

2007-12-01 00:00:00

pages

373-5

issue

3

eissn

1022-5536

issn

2309-4990

journal_volume

15

pub_type

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