Paresia VI par craneal por hematoma subdural retroclival y espinal postraumático: Presentación de un caso y revisión de la literatura
2011; Elsevier BV; Volume: 22; Issue: 4 Linguagem: Inglês
10.1016/s1130-1473(11)70030-6
ISSN2340-6305
AutoresI. Catalá-Antúnez, Cristian de Quintana‐Schmidt, P. Clavel-Laria, Guillermo Montes-Graciano, Joan Molet-Teixidó,
Tópico(s)Spinal Hematomas and Complications
ResumoRetroclival posttraumatic hematomas are extremely rare and almost exclusive to childhood. Only one case of retroclival subdural hematoma has been reported in the literature to date.An 8-year-old boy suffered a severe head injury with cervical hyperextension as the result of a bicycle accident. On admission his initial Glasgow Coma Score was 13 and he had diplopia due to right palsy of the VI nerve. A retroclival subdural hematoma was observed by CT and MRI of the craneovertebral junction. Management was conservative and a rigid collar was placed. Palsy of VI nerve recovered spontaneously at 6 days and at discharge the patient had only cervical pain. Follow up at 3 months after the accident showed clinical and radiological resolution.Traumatic retroclival hematomas are mainly a pediatric entity due to immaturity of the cranio-cervical junction. Treatment consists of placement of a rigid collar although clinical progression may require surgical evacuation.
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