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Nontraumatic acute and subacute enhancing spinal epidural hematoma mimicking a tumor in a child

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Abstract

We describe a 10-year-old boy who presented with acute onset of neck pain and neurologic symptoms caused by a spinal epidural hematoma. An enhancing mass, which mimicked a tumor, was seen on MR imaging of the cervical spine. The uptake of gadolinium in the mass and the associated mass effect suggested a tumor etiology. Such spinal epidural hematomas are extremely rare in the pediatric population. Additionally, it is even more uncommon for spinal epidural hematomas to resemble tumors. It is important to consider this entity when an enhancing epidural mass is found on MRI in the setting of an acute presentation.

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References

  1. Lonjon M, Paquis P, Chanalet S, et al (1997) Nontraumatic spinal epidural hematoma: report of four cases and review of the literature. Neurosurgery 41:483–487

    CAS  PubMed  Google Scholar 

  2. Holtas S, Heiling M, Lonntoft M (1996) Spontaneous spinal epidural hematoma: findings at MR imaging and clinical correlation. Radiology 199:409–413

    CAS  PubMed  Google Scholar 

  3. Patel H, Boaz JC, Phillips JP, et al (1998) Spontaneous spinal epidural hematoma in children. Pediatr Neurol 19:302–307

    CAS  PubMed  Google Scholar 

  4. Alabedeen Z, Jamjoom B (1996) Acute spontaneous spinal epidural hematoma: the influence of magnetic resonance imaging on diagnosis and treatment. Surg Neurol 46:345–349

    Article  PubMed  Google Scholar 

  5. Van Heesewijk JPM, Casparie JWBM (2000) Acute spontaneous spinal epidural haematoma in a child. Eur Radiol 10:1874–1876

    Article  PubMed  Google Scholar 

  6. Chang FC, Lirng JF, Chen SS, et al (2003) Contrast enhancement patterns of acute spinal epidural hematomas: a report of two cases. AJNR 24:366–369

    Google Scholar 

  7. Rosenberg O, Itshayek E, Isreal Z (2003) Spontaneous spinal epidural hematoma in a 14-year-old girl. Case report and review of the literature. Pediatr Neurosurg 38:216–218

    Article  PubMed  Google Scholar 

  8. Ravid S, Schneider S, Maytal J (2002) Spontaneous spinal epidural hematoma: an uncommon presentation of a rare disease. Childs Nerv Syst 18:345–347

    Article  PubMed  Google Scholar 

  9. Chang CW, Lin LH, Liao HT, et al (2002) Spontaneous spinal epidural hematoma in a 5-year-old girl. Acta Paediatr Taiwan 43:345–347

    PubMed  Google Scholar 

  10. Fukui MB, Swarnkar AS, Williams RL (1999) Acute spontaneous spinal epidural hematomas. AJNR 20:1365–1372

    CAS  Google Scholar 

  11. Muthukumar N (2003) Chronic spontaneous spinal epidural hematoma—a rare cause of cervical myelopathy. Eur Spine J 12:100–103

    PubMed  Google Scholar 

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Authors and Affiliations

  1. McGill University, Montreal, Quebec, Canada

    Ryan Kirwan

  2. Radiology, Montreal Children’s Hospital, McGill University, Montreal, Quebec, H3H 1P3, Canada

    Gaurav Saigal, Ricardo Faingold & Augustin O’Gorman

Authors
  1. Ryan Kirwan
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  2. Gaurav Saigal
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  3. Ricardo Faingold
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  4. Augustin O’Gorman
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Correspondence to Gaurav Saigal.

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Kirwan, R., Saigal, G., Faingold, R. et al. Nontraumatic acute and subacute enhancing spinal epidural hematoma mimicking a tumor in a child. Pediatr Radiol 34, 499–502 (2004). https://doi.org/10.1007/s00247-003-1129-9

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  • DOI: https://doi.org/10.1007/s00247-003-1129-9

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