Clivus epidural hematoma

1990 ◽  
Vol 72 (4) ◽  
pp. 660-662 ◽  
Author(s):  
Akihiro Kurosu ◽  
Keiichi Amano ◽  
Osami Kubo ◽  
Hiroshi Himuro ◽  
Takeki Nagao ◽  
...  
Keyword(s):  
Traffic Accident ◽  
Rare Case ◽  
Epidural Hematoma ◽  
Similar Case ◽  
Content Type ◽  
Hyperextension Injury ◽  
Fine Print

✓A rare case of epidural hematoma of the clivus is reported in an 11 -year-old girl involved in a traffic accident which caused a severe hyperextension injury. Only one similar case has been reported in the literature. The mechanism for the formation of the hematoma of this region is discussed.

Cough induced by ossification of the ligamentum flavum in the high cervical spine

2004 ◽  
Vol 100 (4) ◽  
pp. 364-366 ◽  
Author(s):  
Yu-Cheng Chou ◽  
Chau-Chin Lee ◽  
Pao-Sheng Yen ◽  
Jui-Feng Lin ◽  
Chain-Fa Su ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Traffic Accident ◽  
Rare Case ◽  
Ligamentum Flavum ◽  
Pathophysiological Mechanism ◽  
Decompressive Laminectomy ◽  
Content Type ◽  
High Cervical ◽  
Fine Print

✓ The authors report a very rare case of high cervical ossification of the ligamentum flavum (OLF) in a 40-year-old woman who developed an intractable cough after a traffic accident. The patient's symptoms subsided immediately after decompressive laminectomy and removal of the lesion. To the authors' knowledge, this is the first reported case of high cervical OLF in a patient who presented with a cough. The pathophysiological mechanism underlying the cough was determined to be symptomatic of high cervical spine OLF.

Epidural hematoma of the clivus

1998 ◽  
Vol 88 (3) ◽  
pp. 590-593 ◽  
Author(s):  
Hidekatsu Mizushima ◽  
Nobusuke Kobayashi ◽  
Yoshiharu Sawabe ◽  
Kazuo Hanakawa ◽  
Hiroyuki Jinbo ◽  
...  
Keyword(s):  
Mr Imaging ◽  
Traffic Accident ◽  
Rare Case ◽  
Epidural Hematoma ◽  
Abducens Palsy ◽  
Content Type ◽  
Hematoma Formation ◽  
Bilateral Abducens Palsy ◽  
Bilateral Abducens ◽  
The Brain

✓ This 8-year-old boy presented with a rare case of epidural hematoma of the clivus and atlantoaxial dislocation caused by a hyperflexion injury sustained in a traffic accident. Magnetic resonance (MR) imaging demonstrated an epidural hematoma in the posterior fossa that compressed the pons and medulla. On admission, the patient was confused and had bilateral abducens palsy. He was treated conservatively, and 6 months after admission, the epidural hematoma on the clivus had disappeared on MR imaging and the bilateral abducens palsy was cured. Only two such cases have been reported in the literature. In this report, the authors discuss the mechanism of hematoma formation in this region of the brain.

Intradural chordoma of the tentorium cerebelli

1991 ◽  
Vol 74 (3) ◽  
pp. 508-511 ◽  
Author(s):  
Ronald E. Warnick ◽  
Jack Raisanen ◽  
Theodore Kaczmar ◽  
Richard L. Davis ◽  
Michael D. Prados
Keyword(s):  
Rare Case ◽  
Content Type ◽  
Tentorium Cerebelli ◽  
Fine Print

✓ A rare case of intradural chordoma is described. The literature contains seven examples of intradural extraosseous chordoma, all reported in a ventral location. This is the first reported case of a primary intradural chordoma distant from the clivus and involving both the supra- and infratentorial compartments.

Teratoma of the fourth ventricle

1973 ◽  
Vol 38 (3) ◽  
pp. 355-357 ◽  
Author(s):  
Robert J. Morelli
Keyword(s):  
Fourth Ventricle ◽  
Rare Case ◽  
Surgical Removal ◽  
Malignant Teratoma ◽  
Content Type ◽  
Fine Print

✓ The author reports a rare case in which a primary malignant teratoma presented as an obstructing mass in the fourth ventricle. The tumor was not cystic but well encapsulated, and a gross total surgical removal was accomplished. A fatal recurrence occurred within 3 months.

Cruciate paralysis

1986 ◽  
Vol 65 (1) ◽  
pp. 108-110 ◽  
Author(s):  
Daniel Dumitru ◽  
James E. Lang
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Rare Case ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Cervical Spinal Cord ◽  
Content Type ◽  
Vehicle Accident ◽  
Cord Injury ◽  
Fine Print

✓ A rare case of cruciate paralysis is reported in a 39-year-old man following a motor-vehicle accident. The differentiation of this syndrome from a central cervical spinal cord injury is delineated.

Chorea as a manifestation of epidural hematoma

1984 ◽  
Vol 60 (4) ◽  
pp. 856-857 ◽  
Author(s):  
John R. Adler ◽  
Ken R. Winston
Keyword(s):  
Epidural Hematoma ◽  
Content Type ◽  
Fine Print

✓ A child with epidural hematoma presented with choreiform movements which promptly resolved following the evacuation of the hematoma.

Stenosis of the axis and cervical myelopathy

1992 ◽  
Vol 76 (2) ◽  
pp. 296-297 ◽  
Author(s):  
Shankar G. Prakash ◽  
Mathew J. Chandy ◽  
Jacob Abraham
Keyword(s):  
Cervical Myelopathy ◽  
Rare Case ◽  
Neural Arch ◽  
Decompressive Laminectomy ◽  
Content Type ◽  
Remarkable Recovery ◽  
Fine Print

✓ A rare case is described of marked segmental stenosis of the axis secondary to developmental hypertrophy of the posterior neural arch causing cervical myelopathy. The patient made a remarkable recovery following decompressive laminectomy.

Delayed cervical myelopathy caused by bomb shell fragment

1976 ◽  
Vol 44 (5) ◽  
pp. 626-627 ◽  
Author(s):  
Katsumasa Amitani ◽  
Yuichi Tsuyuguchi ◽  
Sinsuke Hukuda
Keyword(s):  
Foreign Body ◽  
Cervical Myelopathy ◽  
Rare Case ◽  
Foreign Body Reaction ◽  
Content Type ◽  
Shell Fragment ◽  
Fine Print

✓ A rare case of delayed cervical myelopathy caused by a bomb shell fragment is reported. The fragment lay intradurally with minimum foreign body reaction. Symptoms did not begin to occur until 17 years after injury.

Subhyaloid hemorrhage in Haemophilus meningitis

1984 ◽  
Vol 61 (1) ◽  
pp. 178-179 ◽  
Author(s):  
Donald A. Campbell ◽  
Paul Roberts ◽  
Malcolm D. M. Shaw
Keyword(s):  
Rare Case ◽  
Content Type ◽  
Fine Print ◽  
Subhyaloid Hemorrhage

✓ A very rare case of subhyaloid hemorrhage, caused by Haemophilus meningitis, is presented and discussed.

The management of “asymptomatic” epidural hematomas

1989 ◽  
Vol 70 (3) ◽  
pp. 392-396 ◽  
Author(s):  
Neville W. Knuckey ◽  
Steven Gelbard ◽  
Mel H. Epstein
Keyword(s):  
Risk Factors ◽  
Epidural Hematoma ◽  
Skull Fracture ◽  
Content Type ◽  
Mortality And Morbidity ◽  
Management Protocol ◽  
Major Vessel ◽  
Low Incidence ◽  
A Prospective Study ◽  
Fine Print

✓ Standard neurosurgical management mandates prompt evacuation of all epidural hematomas to obtain a low incidence of mortality and morbidity. This dogma has recently been challenged. A number of authors have suggested that in selected cases small and moderate epidural hematomas may be managed conservatively with a normal outcome and without risk to the patient. The goal of this study was to define the clinical parameters that may aide in the management of patients with small epidural hematomas who were clinically asymptomatic at initial presentation because there was no clinical evidence of raised intracranial pressure or focal compression. A prospective study was conducted of 22 patients (17 males and five females) aged from 1 to 71 years, who had a small epidural hematoma diagnosed within 24 hours of trauma and were managed expectantly. Of these, 32% subsequently required evacuation of the epidural hematoma 1 to 10 days after the initial trauma. Analysis of the patients revealed that age, sex, Glasgow Coma Scale score, and initial size of the hematoma are not risk factors for deterioration. However, deterioration was seen in 55% of patients with a skull fracture transversing a meningeal artery, vein, or major sinus, and in 43% of those undergoing computerized tomography (CT) within 6 hours of trauma. In contrast, only 13% of patients in whom the diagnosis of a small epidural hematoma was delayed over 6 hours subsequently required evacuation of the epidural collection. Of patients with both risk factors, 71% required evacuation of the epidural hematoma. None of the patients suffered neurological sequelae attributable to this management protocol. It was concluded that patients with a small epidural hematoma, a fracture overlaying a major vessel or major sinus, and/or who are diagnosed less than 6 hours after trauma are at risk of subsequent deterioration and may require evacuation. Conversely, patients without these risk factors may be managed conservatively with repeat CT and careful neurological observation, because of the low risk of delayed deterioration.

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