Article Text

Download PDFPDF
Case report
Post-traumatic thoracolumbar spinal epidural haematoma in a child: a rare clinical entity
  1. Saurabh Vashisht,
  2. Ashish Dagar,
  3. Vishal Kumar and
  4. Sarvdeep Singh Dhatt
  1. Orthopaedics, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Dr Saurabh Vashisht; saurabh90019{at}yahoo.com

Abstract

Post-traumatic spinal epidural haematoma (SEH) is a rare clinical entity in children. We are reporting the case of an 8-year-old child who presented with thoracolumbar SEH with neurological deficit. MRI confirmed SEH without bony disruption. Emergency evacuation of haematoma was done. There was an improvement in neurological status after removal of haematoma. Diagnosis of this rare condition is tricky in children owing to variable presenting symptoms, especially in an early stage with subtle neurological changes. There should be high clinical suspicion in children with atypical symptoms, and MRI should be done to confirm the diagnosis. Patients with acute neurological deficit should undergo urgent operative decompression. Conservative treatment has a limited role. Patients may be considered for non-operative management if they have medical contraindications, coagulation dysfunction or a small SEH without neurological deficit. These patients require serial MRI monitoring.

  • orthopaedic and trauma surgery
  • neurological injury
  • spinal cord
  • back pain
  • paediatrics
View Full Text

Statistics from Altmetric.com

Footnotes

  • Contributors All four authors (SV, AD, VK and SSD) have contributed to and approved of this submitted manuscript. SV is the submitting author.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.