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Review
. 1998 Apr;79(4):460-3.
doi: 10.1016/s0003-9993(98)90151-4.

Outcome after spontaneous spinal epidural hematoma in children: case report and review of the literature

M D Pecha  1 , A C Able, D B Barber, A C Willingham
Affiliations
Review

Outcome after spontaneous spinal epidural hematoma in children: case report and review of the literature

M D Pecha et al. Arch Phys Med Rehabil. 1998 Apr.

Abstract

Objective: Spontaneous spinal epidural hematoma (SSEH) is an idiopathic accumulation of blood in the vertebral epidural space without identifiable predisposing factors. First reported in 1869, the clinical outcome in children younger than 18 years old has not been clearly delineated.

Design: A comprehensive review of the English language literature revealed 26 patients younger than 18 years old with reported clinical outcomes. The 27th case is presented.

Results: Complete neurologic recovery occurred in 14 of 27 (52%) patients, partial recovery in 12 of 27 (44%) patients, and death in 1 of 27 (4%) patients.

Conclusion: There is an overall good prognosis for neurologic recovery in children who experience SSEH.

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Comment in

  • Spontaneous spinal epidural hematoma.
    Cirak B, Guven MB, Akalan N. Cirak B, et al. Arch Phys Med Rehabil. 1999 Jan;80(1):125. doi: 10.1016/s0003-9993(99)90321-0. Arch Phys Med Rehabil. 1999. PMID: 9915386 No abstract available.

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