Traumatic retroclival epidural hematoma in a child: case report.
An 11-year-old girl presented with a very rare traumatic retroclival epidural hematoma manifesting as bilateral abducens nerve palsy, deviation of the uvula to the left, and weakened movement of tongue, which developed after a motor vehicle accident. The patient was treated conservatively and showed good outcome. Retroclival hematoma is a mainly pediatric entity usually associated with ligamentous injury at the craniocervical junction, and can be treated conservatively with good outcome.
Kwon
Taek-Hyun
TH
Department of Neurosurgery, College of Medicine, Korea University, Seoul, ROK.
Joy
Hoon
H
Park
Youn-Kwan
YK
Chung
Hung-Seob
HS
D020222:Abducens Nerve Injury / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D000063:Accidents, Traffic; D001268:Atlanto-Axial Joint / Q000000981:diagnostic imaging / Q000293:injuries / Q000473:pathology; D001269:Atlanto-Occipital Joint / Q000000981:diagnostic imaging / Q000293:injuries / Q000473:pathology; D002648:Child; D003388:Cranial Fossa, Posterior / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology; D003389:Cranial Nerve Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D004388:Dura Mater / Q000000981:diagnostic imaging / Q000293:injuries / Q000473:pathology; D004401:Dysarthria / Q000209:etiology / Q000473:pathology / Q000503:physiopathology; D005260:Female; D016489:Head Injuries, Closed / Q000150:complications*; D006407:Hematoma, Epidural, Cranial / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D006801:Humans; D007002:Hypoglossal Nerve / Q000000981:diagnostic imaging / Q000473:pathology; D061228:Hypoglossal Nerve Injuries; D008279:Magnetic Resonance Imaging; D008526:Medulla Oblongata / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology; D010159:Palate / Q000294:innervation / Q000503:physiopathology; D011379:Prognosis; D020127:Recovery of Function / Q000502:physiology; D013119:Spinal Cord Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D013680:Tectorial Membrane / Q000000981:diagnostic imaging / Q000293:injuries / Q000473:pathology; D014057:Tomography, X-Ray Computed; D014059:Tongue / Q000294:innervation / Q000503:physiopathology; D014630:Vagus Nerve / Q000000981:diagnostic imaging / Q000473:pathology; D061223:Vagus Nerve Injuries