| Autor: |
I, Catalá-Antúnez, C, de Quintana-Schmidt, P, Clavel-Laria, G, Montes-Graciano, J, Molet-Teixidó |
| Rok vydání: |
2011 |
| Předmět: |
|
| Zdroj: |
Neurocirugia (Asturias, Spain). 22(4) |
| ISSN: |
1130-1473 |
| Popis: |
Retroclival posttraumatic hematomas are extremely rare and almost exclusive to childhood. Only one case of retroclival subdural hematoma has been reported in the literature to date.An 8-year-old boy suffered a severe head injury with cervical hyperextension as the result of a bicycle accident. On admission his initial Glasgow Coma Score was 13 and he had diplopia due to right palsy of the VI nerve. A retroclival subdural hematoma was observed by CT and MRI of the craneovertebral junction. Management was conservative and a rigid collar was placed. Palsy of VI nerve recovered spontaneously at 6 days and at discharge the patient had only cervical pain. Follow up at 3 months after the accident showed clinical and radiological resolution.Traumatic retroclival hematomas are mainly a pediatric entity due to immaturity of the cranio-cervical junction. Treatment consists of placement of a rigid collar although clinical progression may require surgical evacuation. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
|
