Abstract
Post-traumatic clival hematomas are a rare entity and almost exclusive to the pediatric population. Those of retroclival location are exceptionally rare. This entity was first described in 1941 by Coleman and Thomson, and since then, less than 30 cases have been reported in the literature. Clinically, these hematomas are usually silent and slow, but clinical state worsening may be sudden and rapidly fatal by the onset of obstructive hydrocephalus in the absence of prompt treatment. Here, the authors report a new case of pediatric post traumatic retroclival epidural hematoma following a minor blunt head trauma in a 03-year-old male patient with good outcomes. The authors will proceed with a review of the literature regarding the pathophysiology and mechanisms of occurrence of such post-traumatic injury.
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Mehdi Borni was responsible for the work and the conduct of the study, had access to the data, and controlled the decision to publish.
References
Kwon T-H, Joy H, Park Y-K, Chung H-S (2008) Traumatic retroclival epidural hematoma in a child: case report. Neurol Med Chir 48:347–350
Guillaume D, Menezes AH (2006) Retroclival hematoma in the pediatric population: report of two cases and review of the literature. J Neurosurg 105:321–325 PEDIAT
Tahir M, Quadri S, Hanif S, Javed G (2011) Traumatic retroclival epidural hematoma in pediatric patient–case report and review of literature. Surg Neurol Int 2:78
Suliman HM, Merx HL, Wesseling P, van der Sluijs B, Vos PE, Thijssen HOM (2001) Retroclival extradural hematoma is a magnetic resonance imaging diagnosis. J Neurotrauma 18:1289–1293
Shane Tubbs R, Christoph PhD, Griessenauer JTHM (2010) Retroclival epidural hematomas: a clinical series. Neurosurgery 67:404–407
Bernardo Ratilal MD, Pedro Castanho MD, Carlos Vara Luiz MD, Joa˜o Oliveira Antunes M (2006) Traumatic clivus epidural hematoma: case report and review of the literature. Surg Neurol 66:200–202
Nguyen HS, Shabani SLS (2016) Isolated traumatic retroclival hematoma: case report and review of literature. Childs Nerv Syst 32:1749–1755
Mizushima H, Kobayashi NSY (1998) Epidural hematoma of the clivus. Case report J Neurosurg 88:590–593
Silvera VM, Danehy AR, Newton AW, Stamoulis C, Carducci C, Grant PE, Wilson CR, Kleinman PK (2014) Retroclival collections associated with abusive head trauma in children. Pediatr Radiol 44(Suppl 4):S621-631
BP Y (2003) Traumatic retroclival epidural hematoma in a child. Pediatr Neurosurg 39(6):339–340
Tubbs RS, Griessenauer CJ, Hankinson T, Rozzelle C, Wellons JC, Blount JP, Oakes WJ, Cohen-Gadol AA (2010) Retroclival epidural hematomas: a clinical series. Neurosurgery 67(2):404–406
Catalá-Antúnez I, de Quintana-Schmidt C, Clavel-Laria P, Montes-Graciano G (2011) [Abducens nerve palsy due to postraumatic retroclival and spinal subdural hematoma: case report and literature review]. Molet-Teixidó J Neurocir 22:337–341
Paterakis KN, Karantanas AH, Hadjigeorgiou GM, Anagnostopoulos VKAC (2005) Retroclival epidural hematoma secondary to a longitudinal clivus fracture. Neurol Neurosurg 108:67–72
Marks SM, Paramaraswaren RN, Johnston RA (1997) Transoral evacuation of a clivus extradural haematoma with good recovery: a case report. Br J Neurosurg 11:245–247
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Borni, M., Abdelmouleh, S., Bounemra, M. et al. Isolated pediatric retroclival epidural hematoma following a minor blunt head trauma: a case report with review of the literature. Childs Nerv Syst 39, 807–810 (2023). https://doi.org/10.1007/s00381-022-05686-2
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DOI: https://doi.org/10.1007/s00381-022-05686-2