DOI: 10.2106/jbjs.cc.23.00170 ISSN:

Delayed Diagnosis of Cervical Epidural Hematoma in a 3-Year-Old Boy

Yan Zhou, Gina Guglielmi, Sumeet Garg, Todd C. Hankinson
  • Orthopedics and Sports Medicine
  • Surgery
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Case:

A 3-year-old boy presented to the emergency department with torticollis after a fall. With normal cervical radiographs and neurologic exam, he was diagnosed with cervical strain and discharged. After 2-week progressive symptoms, he was referred to a pediatric spine surgeon. Magnetic resonance imaging (MRI) revealed a cervical epidural hematoma, which was then surgically evacuated. He recovered fully and remains symptom-free 2 years later.

Conclusion:

Pediatric spinal epidural hematoma is a rare condition with potentially serious outcomes yet often nonspecific symptoms. Timely management based on a comprehensive evaluation of symptoms and imaging findings is crucial in improving patient outcomes.

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