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Recurrent cervicothoracic spontaneous epidural hematoma in a toddler.
Childs Nerv Syst
November 2024
Department of Neurosurgery, Jichi Medical University, Shimotsuke, Tochigi, Japan.
Background: Recurrent cases of spontaneous spinal epidural hematoma are rare, and there are no reports of spontaneous resolution and recurrence in toddlers.
Case Presentation: We present a case of a toddler with a cervical spontaneous spinal epidural hematoma, characterized by three episodes of sudden-onset transient torticollis with subsequent natural recovery. The patient was referred to our hospital after the second episode, during which symptoms were already improving.
Spontaneous Intracranial Hypotension and Dural Ectasia in Marfan Syndrome: An Illustrative Case Successfully Treated with Steroid Therapy and Literature Review.
Brain Sci
November 2024
Institute of Neurosurgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Catholic University, 00168 Roma, Italy.
Article Synopsis
- Spontaneous intracranial hypotension (SIH) is a rare condition often misdiagnosed, particularly in patients with connective tissue disorders like Marfan Syndrome, which can lead to structural weaknesses in the spinal dural membrane and increased risk of CSF leaks.
- A 52-year-old woman with genetically confirmed Marfan Syndrome presented with severe headaches and diplopia; imaging revealed complications such as dural ectasia and subdural hematoma, which were effectively managed with bed rest and corticosteroids.
- A review of 25 studies on SIH treatment in patients with Marfan Syndrome indicated high success rates for symptoms improvement, particularly with epidural blood patches and conservative treatments.
Additional Diagnostic Value of Cone Beam CT Myelography Performed After Digital Subtraction Myelography for Detecting CSF-venous Fistulas.
AJNR Am J Neuroradiol
October 2024
From the Department of Radiology, Mayo Clinic, Rochester, MN (A.A.M., M.L.K., I.T.M, P.P.M, S.A.M., J.T.W., W.B.), Department of Neurology, Mayo Clinic, Rochester, MN (J.K.C), Department of Radiology, University Medical Center Freiberg, Freiberg, Germany (N.L.), and the Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, CA (W.I.S.).
Background And Purpose: CSF-venous fistulas are a common cause of spontaneous intracranial hypotension. The diagnosis and precise localization of these fistulas hinges on specialized myelographic techniques, which mainly include decubitus digital subtraction myelography and decubitus CT myelography (using either energy integrating or photon counting detector CT). A previous case series showed that cone beam CT myelography, performed as an adjunctive tool with digital subtraction myelography, increased the detection of CSF-venous fistulas.
View Article and Find Full Text PDFIbrutinib-induced spinal haematoma in a patient with marginal zone lymphoma.
BMJ Case Rep
August 2024
Trinity Health Oakland Hospital, Pontiac, Michigan, USA.
Bleeding diathesis is an uncommon side effect of ibrutinib use and is seen in less than 5% of the population. We describe a case of an elderly woman with ibrutinib-induced spontaneous major extradural haematoma presenting as acute compressive myelopathy. She is a known case of splenic marginal zone lymphoma with multiple extramedullary relapses and presented to the emergency department with acute-onset low backache, followed by urinary retention.
View Article and Find Full Text PDFPredictive Factors for Regression versus Progression of Nonevacuated Posttraumatic Acute Extradural Hematoma.
Asian J Neurosurg
September 2024
Department of Neurosurgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt.
This study was a retrospective study conducted from October 2020 to October 2022 on 106 posttraumatic patients with acute extradural hematomas (EDHs) who were initially planned for conservative treatment. 74 patients had spontaneous EDH regression (EDHR), while 32 patients developed EDH progression (EDHP) and were shifted for surgery. The two groups were statistically compared regarding the different demographic, clinical, and radiographic factors to identify the significant predictors for regression versus progression of acute posttraumatic EDH.
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