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Traumatic Retroclival Epidural Hematoma

Samanci, Yavuz MD*; Baskurt, Ismet MD; Celik, Suat Erol MD

doi: 10.1097/PEC.0000000000001756
Illustrative Cases
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Retroclival epidural hematomas are particularly rare conditions that are frequently the result of high-energy, hyperflexion-hyperextension injuries in pediatric patients. We present the case of a 7-year-old previously healthy girl with traumatic retroclival epidural hematoma after a fall from a swing. She presented with a Glasgow Coma Scale score of 15 with severe neck pain and limitation of cervical movements in all directions. Radiological examination revealed retroclival epidural hematoma, and the patient was managed conservatively with good recovery. Although conservative management leads to good recovery in most cases, retroclival epidural hematomas should always be kept in mind regardless of the severity of trauma.

From the *Neurosurgery Clinic, Istanbul Training and Research Hospital

Neurosurgery Clinic, Arnavutköy State Hospital

Neurosurgery Clinic, Okmeydani Training and Research Hospital, Istanbul, Turkey.

Disclosure: The authors declare no conflict of interest.

Reprints: Yavuz Samanci, MD, Neurosurgery Clinic, Ministry of Health, Istanbul Training and Research Hospital, Kasap İlyas Mahallesi, Org. Abdurrahman Nafiz Gürman Caddesi, 34098 Fatih, Istanbul, Turkey (e-mail: mysamanci@hotmail.com).

Online date: February 23, 2019

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