title: The value of multidetector row computed tomography in the diagnosis of traumatic clivus epidural hematoma in children: a three-year experience.
abstract: BACKGROUND
  Clivus epidural hematoma (CEH) is reported to be extremely rare. However, we consider that CEH may not be as rare as commonly thought, and that it may often go unrecognized because of diagnostic problems. The aim of this study was to evaluate the value of multidetector row computed tomography (MDCT) in the diagnosis of CEH.
  
  
  METHODS
  Twenty-seven children aged less than 16 years who had experienced traffic crashes or falls were retrospectively evaluated with MDCT including sagittal reconstruction of the cervical spine.
  
  
  RESULTS
  Sagittal reconstructed images showed definitive findings of CEH in 3 (13%) of the 24 traffic-crash patients.
  
  
  CONCLUSIONS
  MDCT can show definitive findings of CEH, and diagnostic problems can be solved through the utilization of MDCT. We consider that CEH may be more common than previously thought.
authors.affiliation: Department of Radiology, Sapporo Medical University, School of Medicine, Japan. nyama@sapmed.ac.jp
authors.forename: Naoya
authors.initials: N
authors.lastname: Yama
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Kano
authors.forename: Satoshi
authors.initials: S
authors.lastname: Nara
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Kurimoto
authors.forename: Eichi
authors.initials: E
authors.lastname: Narimatsu
authors.forename: Kazumitsu
authors.initials: K
authors.lastname: Koito
authors.forename: Yasufumi
authors.initials: Y
authors.lastname: Asai
authors.forename: Masato
authors.initials: M
authors.lastname: Hareyama
mesh_terms: D000293:Adolescent; D002574:Cervical Vertebrae / Q000293:injuries; D002648:Child; D002675:Child, Preschool; D003388:Cranial Fossa, Posterior / Q000000981:diagnostic imaging / Q000293:injuries; D005260:Female; D006407:Hematoma, Epidural, Cranial / Q000000981:diagnostic imaging*; D006801:Humans; D007223:Infant; D008297:Male; D012189:Retrospective Studies; D016103:Spinal Fractures / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed