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Slovenska pediatrija 2021; 28: 98-102

https://doi.org/10.38031/slovpediatr-2021-2-05en

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Case report

SPINAL EPIDURAL HAEMATOMA WITHOUT SIGNIFICANT TRAUMA IN A CHILD

Urška Vračko
Splošna bolnišnica dr. Franca Derganca Nova Gorica, Nova Gorica, Slovenija

Jani Breznik
Zdravstveni dom Slovenska Bistrica, Slovenska Bistrica, Slovenija

Matevž Benedičič
Klinični oddelek za nevrokirurgijo, Kirurška klinika, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija

Barbara Faganel Kotnik
Klinični oddelek za otroško hematologijo in onkologijo, Pediatrična klinika, Univerzitetni klinični center Ljubljana, Ljubljana, Slovenija

Abstract

Spinal epidural haematoma without significant precedent trauma is an emergency medical condition, which is rarely encountered in paediatrics. The diagnosis is made by clinical examination and imaging. Treatment is generally surgical. In this paper, we present the clinical picture and treatment of spinal epidural haematoma in an eleven-year-old previously healthy boy, who complained of sudden pain in the right shoulder blade area. Clinically, we suspected spinal pathology, which was eventually proven by magnetic resonance imaging. After surgical evacuation of the haematoma, the boy made a complete recovery.

Key words: spinal epidural haematoma, child, pain, neurological signs, laminectomy