Abstract
Purpose
The occurrence of spinal epidural haematoma of ‘spontaneous’ origin in adults is a well-documented entity, though it is rare in children. In the literature to date, there are few cases of this kind of spontaneous haematoma proven to be due to an underlying vascular abnormality.
Method
Retrospective review of two cases of children under 15 years of age with spontaneous epidural spinal haematoma.
Results
Underlying arteriovenous malformations were identified in both cases. Intra-operative photographs and histological sections of these anomalies are presented.
Conclusion
These are the first two such cases described with clinico-pathological correlation.
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References
van Heesewijk JP, Casparie JW (2000) Acute spontaneous spinal epidural haematoma in a child. Eur Radiol 10:1874–1876
Patel H, Boaz JC, Phillips JP, Garg BP (1998) Spontaneous spinal epidural hematoma in children. Pediatr Neurol 19:302–307
Pai SB, Maiya PP (2006) Spontaneous spinal epidural hematoma in a toddler–a case report. Childs Nerv Syst 22:526–529. doi:10.1007/s00381-005-0002-6
Cakir E, Karaarslan G, Usul H, Baykal S, Kuzeyli K, Mungan I, Yazar U, Peksoylu B, Aynaci M, Cakir F (2004) Clinical course of spontaneous spinal epidural haematoma mimicking Guillain–Barre syndrome in a child: a case report and literature review. Dev Med Child Neurol 46:838–842
Nagel MA, Taff IP, Cantos EL, Patel MP, Maytal J, Berman D (1989) Spontaneous spinal epidural hematoma in a 7-year-old girl. Diagnostic value of magnetic resonance imaging. Clin Neurol Neurosurg 91:157–160
Matsumae M, Shimoda M, Shibuya N, Ueda M, Yamamoto I, Sato O (1987) Spontaneous cervical epidural hematoma. Surg Neurol 28:381–384
Abram HS, DeLaHunt MJ, Merinbaum DJ, Hammond DN (2007) Recurrent spontaneous spinal epidural hematoma in a child: first case report. Pediatr Neurol 36:177–180. doi:10.1016/j.pediatrneurol.2006.09.009
Rosenberg O, Itshayek E, Israel Z (2003) Spontaneous spinal epidural hematoma in a 14-year-old girl. Case report and review of the literature. Pediatr Neurosurg 38:216–218. doi:10.1159/000069091
Tewari MK, Tripathi LN, Mathuriya SN, Khandelwal N, Kak VK (1992) Spontaneous spinal extradural hematoma in children. Report of three cases and a review of the literature. Childs Nerv Syst 8:53–55
Wittebol MC, van Veelen CW (1984) Spontaneous spinal epidural haematoma. Etiological considerations. Clin Neurol Neurosurg 86:265–270
Akutsu H, Sugita K, Sonobe M, Matsumura A (2003) A case of nontraumatic spinal epidural hematoma caused by extradural varix: consideration of etiology. Spine J 3:534–538 S1529943003001530 [pii]
Chen CC, Wang CM, Chu NK, Wu KP, Tang SF, Wong AM (2008) Spinal cord arteriovenous malformation presenting as chest pain in a child. Spinal Cord 46:456–458. doi:10.1038/sj.sc.3102133
Fountas KN, Kapsalaki EZ, Robinson JS (2006) Cervical epidural hematoma in children: a rare clinical entity. Case report and review of the literature. Neurosurg Focus 20:E6
Acknowledgments
The authors acknowledge the contribution of Dr. Timothy Hampton, Consultant Radiologist at King’s College Hospital, in providing radiological reports of the magnetic resonance images in both cases.
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Sivakumaran, R., King, A., Bodi, I. et al. Spontaneous epidural spinal haematoma in children caused by vascular malformations. Eur Spine J 25, 614–618 (2016). https://doi.org/10.1007/s00586-014-3616-0
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DOI: https://doi.org/10.1007/s00586-014-3616-0