Acute epidural hematoma manifesting with monoplegia in a child: Case report

Year 2013, Volume: 4 Issue: 2, 223 - 225, 01.06.2013

Hakan Ak Sadiye Yolcu Özlem Balbaloğlu

https://doi.org/10.5799/ahinjs.01.2013.02.0271

Abstract

A seven year-old girl presented with left sided painless monoplegia at the lower extremity after falling from two meters height. Cranial computed tomography showed right sided fronto-parietal epidural hematoma. Urgent decompressive craniotomy for the evacuation of the he­matoma was performed. Patient discharged two weeks after admission with minimal loss of muscle strength. Fronto-parietal epidural hematomas may also manifest with monoplegia and early evacuation should be standard management. J Clin Exp Invest 2013; 4 (2): 223-225

Keywords

Epidural hematoma, monoplegia, computed tomography

Çocuk hastada monopleji ile belirti veren akut epidural hematom: Olgu sunumu

Abstract

Yedi yaşında kız çocuğu yaklaşık iki metrelik yüksekten düşme sonrası sol bacakta ağrısız kuvvet kaybı ile baş­vurdu. Hastanın beyin tomografisinde sağ fronto-paryetal bölgede epidural hematom tespit edildi. Hematom acilen yapılan kraniyotomi ile boşaltıldı. Hasta yaklaşık iki haf­talık takip sonrası çok az kuvvet kaybı ile taburcu edildi. Fronto-paryetal yerleşimli epidural hematomlar monopleji ile de belirti verebilirler ve erken cerrahi sağaltım bu he­matomlara yaklaşımda standart tedavi olmalıdır.

Keywords

Epidural hematom, monopleji, bilgi­sayarlı tomografi

References

• Yurt İ, Bezircioğlu H, Erşahin Y, et al. Extradural Hae- matoma: Analysis of 190 cases. Turkish Neurosurgery 1996;6:63-67.
• Özkan Ü, Kemaloğlu S, Özateş M, et al. Analyzing ex- tradural haematomas: A retrospective clinical investi- gation. Dicle Medical Journal 2007;34:14-19.
• Araujo JLV, Aguiar UDP, Todeschini AB, et al. Epide- miological analysis of 210 cases of surgically treated traumatic extradural hematoma. Rev Col Bras Cir 2012;39:268-271.
• Bozbuğa M, Çelikoğlu E, Polat G, et al. Epidural hema- tomların konservatif tedavisi (86 olguda klinik dene- yim). Ulusal Travma Dergisi 1998;4:39-44.
• Babu ML, Bhasin SK, Kumar A. Extradural hematoma- an experience of 300 cases. JK Science 2005;7:205- 207.
• Ciurea AV, Tascu A, Brehar FM, et al. A life threatening problem in infants: supratentorial epidural hematoma. Journal of Medicine and Life 2009;2:191-195.
• Khaled Chowdhury SN, Tarıkul Islam KM, Mahmood E, Hossain SS. Extradural haematoma in children: Surgical experiences and prospective analysis of 170 cases. Turkish Neurosurgery 2012;22:39-43.
• Paiva S, de Andrade AF, Jşnior LM, et al. Management of supratentorial epidural hematoma in children: Re- port on 49 patients. Arq. Neuropsiquiatr. 2010;68:888- 892.
• Safavi-Abbasi S, Feiz-Erfan I, Deshmukh V, et al. Ver- tex epidural hematoma manifesting with monoplegia: Case report. Barrow Quarterly 2002;18:25-28.