Cent Eur Neurosurg 2009; 70(1): 52-54
DOI: 10.1055/s-2008-0042
Case Report

© Georg Thieme Verlag KG Stuttgart · New York

Spontaneous Resolution of a Small Extradural Haematoma in a Child

Spontane Auflösung eines kleinen extraduralen Hämatoms bei einem KindA. K. Sinha 1 , C. Parmar 1 , S. Ahmed 1 , P. May 2 , D. F. O’brien 3 , N. Buxton 1
  • 1Department of Neurosurgery, Royal Liverpool Childrens NHS Trust, Liverpool, UK
  • 2Royal Liverpool Childrens NHS Trust, Liverpool, UK
  • 3Department of Neurosurgery, Beaumont Hospital, Dublin, Ireland
Further Information

Publication History

Publication Date:
03 February 2009 (online)

Abstract

We report the rapid spontaneous resolution of a small extradural haematoma (EDH) in a 19-month-old child. The haematoma was managed conservatively. The child went on to make a full recovery. The authors discuss the significance of this surprising clinical finding.

Zusammenfassung

Wir berichten über die schnelle spontane Auflösung eines kleinen extraduralen Hämatoms (EDH) bei einem 19 Monate alten Kind. Das Hämatom wurde konservativ behandelt. Das Kind erholte sich vollständig. Die Autoren diskutieren die Bedeutung dieses überraschenden klinischen Befundes.

References

  • 1 Bejjani I, Donahue DJ, Rusin J, Broemeling LD. Radiological and clinical criteria for the management of epidural haematomas in children.  Pediatr Neurosurg. 1996;  25 ((6)) 302-308
  • 2 Chambers IR, Jones PA, Lo TYM, Forsyth RJ, Fulton B, Andrews PJD, Mendelow AD, Minns RA. Critical thresholds of intracranial pressure and cerebral perfusion pressure related to age in paediatric head injury.  J Neurol Neurosurg Psychiatry. 2006;  77 234-224
  • 3 Dirim BV, Oruk C, Erdogan N, Gelal F, Uluc E. Traumatic posterior fossa haematomas.  Diagn Interv Radiol. 2005;  11 14-18
  • 4 Malek A M, Barnett FH, Schwartz MS, Scott RM. Spontaneous rapid resolution of an epidural hematoma associated with an overlying skull fracture and subgaleal hematoma in a 17 month-old child.  Pediatr Neurosurg. 1997;  26 ((3)) 160-165
  • 5 Neely Jr JC, Jones B V, Crone KR. Spontaneous extracranial decompression of epidural hematoma.  Paediatr Radiol. 2007;  , (epub ahead of print)
  • 6 Tuncer R, Acikbas C, Ucar T, Kazan S, Karasoy M, Saveren M. Conservative management of extradual haematomas: effects of skull fractures on resorption rate.  Acta Neurochir (Wien). 1997;  139 ((3)) 203-207
  • 7 Ugarriza LF, Cabezudo JM, Fernandez-Portales I. Rapid spontaneous resolution of an extradural haematoma: case report.  Br J Neurosurg. 1999;  13 ((6)) 604-605
  • 8 Weaver D, Pobereskin L, Jane JA. Spontaneous resolution of epidural haematomas. Report of two cases.  J Neurosurg. 1981;  54 248-251

Correspondence

A. K. SinhaFRCS (Sn) 

Department of Neurosurgery

Royal Liverpool Childrens NHS Trust

Eaton Road

Liverpool

UK

Phone: +44/151/252 50 18

Fax: +44/151/252 50 18

Email: sinha62@doctors.org.uk

    >