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

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

Öz

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.

Anahtar Kelimeler

• Epidural hematom, monopleji, bilgi­sayarlı tomografi

Kaynakça

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