Spontaneous spinal epidural hematoma in an infant

Abstract

Spontaneous spinal epidural hematoma is a rare entity, especially in infants. The cervicothoracic region is the most commonly affected site in children. The clinical features are often nonspecific, leading to a delay in diagnosis. Early management is probably associated with better functional outcomes. Here the authors report a 12-month-old girl who presented with excessive irritability and weakness of limbs. Magnetic resonance imaging of spine revealed epidural hematoma on the dorsal aspect of the spinal cord in the C2-C5 region. There were no predisposing factors. She started showing neurological recovery even prior to presentation. She was managed conservatively. This case report aims to raise awareness about this otherwise morbid neurological emergency, in which early intervention is pivotal.