Rivista di formazione e di aggiornamento professionale del pediatra e del medico di base, realizzata in collaborazione con l'Associazione Culturale Pediatri

M&B Pagine Elettroniche

Caso contributivo

Ematoma spinale epidurale spontaneo in Pediatria

Antonio Natale1, Eugenio Covelli2, Bruno Cordiale2, Alessandra Alfieri3

1UOC di Pediatria, 2UOC di Radiologia, 3UOC di Neurochirurgia
AORN “Sant’Anna e San Sebastiano”, Caserta

Indirizzo per corrispondenza: a.natale.ce@tin.it

Spontaneous spinal epidural haematoma in Paediatrics

Key words: Spinal epidural hematoma, Spinal cord compression, Decompressive surgery

The spontaneous spinal epidural haematoma (SSEH) is a rare emergency condition due to an accumulation of blood in the epidural space that can compress the spinal cord and can lead to severe neurological sequelae. The typical symptom of SSEH is severe back or neck pain, followed by symptoms and signs of spinal cord compression. A detailed history and an accurate neurologic examination are important tools for early diagnosis and magnetic resonance imaging (MRI) is currently the diagnostic method of choice. Performing a rapid decompressive surgery is very important in achieving positive clinical outcomes. The paper presents a case of a 12-year-old boy who developed severe abdominal pain and progressive weakness in his legs. MRI demonstrated an epidural mass extending from C3 through T1, causing spinal cord compression. Emergent decompressive laminectomy was performed. Optimal functional outcomes were obtained.

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A. Natale, E. Covelli, B. Cordiale, A. Alfieri Ematoma spinale epidurale spontaneo in Pediatria. Medico e Bambino pagine elettroniche 2020;23(5):106-109 https://www.medicoebambino.com/?id=CCO2005_40.html

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