title: Traumatic clival subdural hematoma in an adult.
abstract: Retroclival hematomas are a rare entity. They are usually associated with significant trauma, and patients frequently have focal neurological deficits, especially cranial nerve palsies. Previous case reports of epidural clival hematomas have been described almost exclusively in the pediatric population. The authors report a unique case of traumatic clival subdural hematoma, which has never been described in an adult except in the context of hemophilia. An 18-year-old man presented with continuing nausea and headaches following a seemingly trivial head injury. He was found to have a posterior fossa retroclival hematoma extending into the spinal subdural space but without any neurological deficits. He was treated conservatively, with a good outcome. The authors discuss the possible mechanisms of injury, management, and complications related to this rare condition, and they review the pertinent literature.
authors.affiliation: Departments of Neurosurgery, Salford Royal Foundation Trust, Manchester, United Kingdom. davcasey@doctors.net.uk
authors.forename: David
authors.initials: D
authors.lastname: Casey
authors.forename: Bedansh Roy
authors.initials: BR
authors.lastname: Chaudhary
authors.forename: Paul A
authors.initials: PA
authors.lastname: Leach
authors.forename: Amit
authors.initials: A
authors.lastname: Herwadkar
authors.forename: Konstantina
authors.initials: K
authors.lastname: Karabatsou
mesh_terms: D000293:Adolescent; D003388:Cranial Fossa, Posterior / Q000293:injuries*; D046648:Hematoma, Subdural, Intracranial / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male