Spontaneous spinal epidural hematoma in a 4-month-old infant

J. S. Lee, C. Y. Yu, K. C. Huang, H. W. Lin, C. C. Huang, H. H. Chen

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Study design: A case report and a review of literature. Objectives: To present the first youngest infant of a 4-month-old boy with spontaneous spinal epidural hematoma in cervicothoracic spine. Setting: National Cheng Kung University Hospital, Tainan, Taiwan. Methods: A 4-month-old boy who initially presented with irritable crying, neck stiffness, and fever followed by progressive quadriparesis. Magnetic resonance imaging (MRI) of the spine disclosed a space-occupying lesion on the right posterior-lateral aspect of the cervicothoracic spinal canal. Laminectomy with reconstruction in situ from C4 to T4 was performed 5 days after the onset of symptoms. Results: The boy had gradual improvement of his neurological status. Follow-up visit 1 year later, the infant's growth and development was within normal limit without any neurological deficits; his repeat MRI showed complete fusion of each implanted lamina and well expansion of the spinal cord. Conclusions: Prompt surgical decompression is valuable, irrespective of the time interval between symptom onset and operation in infant.

Original languageEnglish
Pages (from-to)586-590
Number of pages5
JournalSpinal Cord
Volume45
Issue number8
DOIs
Publication statusPublished - Aug 17 2007
Externally publishedYes

Fingerprint

Spinal Epidural Hematoma
Spine
Magnetic Resonance Imaging
Surgical Decompression
Crying
Spinal Canal
Quadriplegia
Laminectomy
Child Development
Taiwan
Growth and Development
Spinal Cord
Fever
Neck

Keywords

  • 4-month-old
  • Infant
  • Spontaneous spinal epidural hematoma

ASJC Scopus subject areas

  • Clinical Neurology

Cite this

Lee, J. S., Yu, C. Y., Huang, K. C., Lin, H. W., Huang, C. C., & Chen, H. H. (2007). Spontaneous spinal epidural hematoma in a 4-month-old infant. Spinal Cord, 45(8), 586-590. https://doi.org/10.1038/sj.sc.3101976

Spontaneous spinal epidural hematoma in a 4-month-old infant. / Lee, J. S.; Yu, C. Y.; Huang, K. C.; Lin, H. W.; Huang, C. C.; Chen, H. H.

In: Spinal Cord, Vol. 45, No. 8, 17.08.2007, p. 586-590.

Research output: Contribution to journalArticle

Lee, JS, Yu, CY, Huang, KC, Lin, HW, Huang, CC & Chen, HH 2007, 'Spontaneous spinal epidural hematoma in a 4-month-old infant', Spinal Cord, vol. 45, no. 8, pp. 586-590. https://doi.org/10.1038/sj.sc.3101976
Lee, J. S. ; Yu, C. Y. ; Huang, K. C. ; Lin, H. W. ; Huang, C. C. ; Chen, H. H. / Spontaneous spinal epidural hematoma in a 4-month-old infant. In: Spinal Cord. 2007 ; Vol. 45, No. 8. pp. 586-590.
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