Idiopathic Cervical Hematomyelia in an Infant: Spinal Cord Injury without Radiographic Abnormality Caused by a Trivial Trauma? Case Report and Review of the Literature

التفاصيل البيبلوغرافية
العنوان: Idiopathic Cervical Hematomyelia in an Infant: Spinal Cord Injury without Radiographic Abnormality Caused by a Trivial Trauma? Case Report and Review of the Literature
المؤلفون: Mariasavina Severino, Alessandro Consales, Armando Cama, Marco Pavanello, Gianluca Piatelli, Andrea Accogli, Valeria Capra, Pietro Fiaschi, Giuseppe Marcello Ravegnani
المصدر: World neurosurgery. 90
سنة النشر: 2015
مصطلحات موضوعية: medicine.medical_specialty, Spinal Cord Vascular Diseases, Spinal cord injury without radiographic abnormality, Arteriovenous fistula, Hemorrhage, law.invention, Intramedullary rod, Diagnosis, Differential, 03 medical and health sciences, 0302 clinical medicine, law, Trivial trauma, Diagnosis, medicine, Humans, Children, Spontaneous intramedullary hemorrhage, Spinal Cord Injuries, Idiopathic hematomyelia, business.industry, Infant, Arteriovenous malformation, medicine.disease, CT, MRI, SCIWORA, Cervical Vertebrae, Drainage, Female, Microvascular Decompression Surgery, Surgery, Neurology (clinical), medicine.anatomical_structure, 030220 oncology & carcinogenesis, Differential, Cervical collar, Radiology, Differential diagnosis, business, 030217 neurology & neurosurgery, Cervical vertebrae
الوصف: Background Spontaneous or idiopathic intramedullary bleeding is a very rare event in pediatric patients. This diagnosis requires an extended clinical, laboratory, and radiologic work-up to rule out all potential causes of hematomyelia. However, children may present with hematomyelia or spinal cord injury without radiographic abnormality even after a minor trauma. Case Description A 15-month-old girl presented with a 24-hour history of progressive neurologic deficits. A trivial trauma had occurred a few days before the clinical onset. Head computed tomography scan and craniospinal magnetic resonance imaging revealed an isolated hemorrhagic central medullary lesion extending from the obex to C3 level. No underlying causes of intramedullary bleeding were identified. In the absence of obvious vascular abnormalities, the patient underwent an urgent occipitocervical decompression with hematoma evacuation. Postoperatively, the patient's motor symptoms rapidly resolved, and she was discharged with cervical collar immobilization. Conclusions We discuss the differential diagnosis of intramedullary bleeding in children, focusing on the diagnostic protocol and therapeutic options in this age group.
تدمد: 1878-8769
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::23e724b6bd3dac7517d23352f8d84d6b
https://pubmed.ncbi.nlm.nih.gov/26899465
حقوق: CLOSED
رقم الأكسشن: edsair.doi.dedup.....23e724b6bd3dac7517d23352f8d84d6b
قاعدة البيانات: OpenAIRE