Epidural haematoma - paediatric

We present the case of a 47-year-old woman with neurofibromatosis type 1 (NF1) with subarachnoid haemorrhage (SAH) from the left vertebral arteriovenous fistula, along with a review of previous cases. Our patient had a family history of NF1 and presented to the emergency department with a sudden-onset severe headache and neck pain. CT scan showed SAH. CT angiography revealed a left vertebral arteriovenous fistula and an epidural haematoma. She underwent direct surgery and was discharged without neurologic deficits. To our knowledge, this is the first case of SAH caused by perimedullary drainage of a vertebral arteriovenous fistula associated with NF1. In a literature search, we identified 40 cases of vertebral arteriovenous fistula associated with NF1. The majority of vertebral arteriovenous fistulas occurred on the left side and in women. Patients with vertebral arteriovenous fistula typically experience neck pain, radiculopathy, radiculomyelopathy and bruits.

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Mount Fuji sign with concavo-convex appearance of epidural haematoma in a patient with tension pneumocephalus

Journal of Radiology Case Reports ◽

10.3941/jrcr.v3i1.100 ◽

2009 ◽

Vol 3 (1) ◽

Author(s):

Amit Agrawal ◽

Brij Raj Singh

Keyword(s):

Epidural Haematoma ◽

Tension Pneumocephalus ◽

Mount Fuji

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Spinal epidural haematoma after spinal anaesthesia - an unusual presentation

European Journal of Anaesthesiology ◽

10.1097/00003643-201406001-00553 ◽

2014 ◽

Vol 31 ◽

pp. 194

Author(s):

M. J. Vilaça ◽

C. Teixeira ◽

N. Pinheiro ◽

F. Coelho ◽

A. Faisco

Keyword(s):

Spinal Anaesthesia ◽

Epidural Haematoma ◽

Unusual Presentation ◽

Spinal Epidural Haematoma ◽

Spinal Epidural

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Back Pain and Radiculopathy from Non-Steroidal Anti-Inflammatory Drug-induced Dorsal Epidural Haematoma

BMJ Case Reports ◽

10.1136/bcr-2018-229015 ◽

2019 ◽

Vol 12 (3) ◽

pp. e229015 ◽

Cited By ~ 2

Author(s):

Jaime L Martinez Santos ◽

Mohammed Alshareef ◽

Stephen P Kalhorn

Keyword(s):

Back Pain ◽

Epidural Haematoma ◽

Drug Induced ◽

Inflammatory Drug ◽

Anti Inflammatory

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Neonatal epidural haematoma. Presentation of 3 cases and a literature review

Anales de Pediatría (English Edition) ◽

10.1016/j.anpede.2017.01.010 ◽

2018 ◽

Vol 88 (1) ◽

pp. 50-51

Author(s):

Rebeca Gregorio-Hernández ◽

Marta González-Valcarcel ◽

Ana Belén Escobar-Izquierdo ◽

Yolanda López-Lozano ◽

Ana Cabada-Del Río

Keyword(s):

Literature Review ◽

Epidural Haematoma

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Emergency Magnetic Resonance Examination of Patients with Spinal Cord Symptoms

Acta Radiologica ◽

10.1177/028418518802900115 ◽

1988 ◽

Vol 29 (1) ◽

pp. 69-75 ◽

Cited By ~ 17

Author(s):

E.-M. Larsson ◽

S. Holtås ◽

S. Cronqvist

Keyword(s):

Spinal Cord ◽

Magnetic Resonance ◽

Epidural Abscess ◽

Imaging System ◽

Epidural Haematoma ◽

Sudden Onset ◽

Surface Coils ◽

Signal Characteristics ◽

Traumatic Lesions ◽

Magnetic Resonance Imaging Mri

Eighteen consecutive patients with spinal cord symptoms of sudden or relatively sudden onset were examined with magnetic resonance imaging (MRI). The examinations were performed on a 0.3 tesla permanent/resistive imaging system using solenoidal surface coils. MRI revealed epidural tumour in five patients, intramedullary tumour in one, epidural abscess in one, myelitis in two, spontaneous intraspinal epidural haematoma in two, disc herniation in two, traumatic lesions in four and no abnormality in one patient. MRI was found to be capable of non-invasively and painlessly detecting and exactly defining the extent of intraspinal and paraspinal lesions. In some cases the nature of the lesion could be inferred from specific signal characteristics, which is a unique property of MRI. The results strongly suggest that MRI is superior to myelography and other imaging methods and should be regarded as the examination of choice in the emergency examination of patients with spinal cord symptoms.

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