Samanci Yavuz, Baskurt Ismet, Celik Suat Erol
From the Neurosurgery Clinic, Istanbul Training and Research Hospital.
Neurosurgery Clinic, Arnavutköy State Hospital.
Pediatr Emerg Care. 2019 Oct;35(10):e184-e187. doi: 10.1097/PEC.0000000000001756.
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.
斜坡后硬膜外血肿是一种极为罕见的病症，在儿科患者中通常是高能、过屈-过伸损伤的结果。我们报告一例7岁既往健康女孩的病例，她从秋千上跌落，导致创伤性斜坡后硬膜外血肿。她入院时格拉斯哥昏迷量表评分为15分，伴有严重颈部疼痛及各个方向的颈椎活动受限。影像学检查显示斜坡后硬膜外血肿，该患者经保守治疗后恢复良好。尽管在大多数情况下保守治疗可带来良好恢复，但无论创伤严重程度如何，斜坡后硬膜外血肿都应始终被牢记。
