The Spontaneous Spinal Epidural Hematoma in Children: Two Case Reports and a Literature Review

Authors

  • Ayisi Gordon-Gullanyi Department of Neurological Disease and Neurosurgery, Peoples of Friendship University of Russia named after Patrice Lumumba (RUDN), Moscow, Russia and Moscow State Budgetary Healthcare Institution, Morozov Children’s City Clinica Hospital of the Moscow City Healthcare Department, Moscow, Russia
  • Daniel A Encarnacion-Santos Department of Neurological Disease and Neurosurgery, Peoples of Friendship University of Russia named after Patrice Lumumba (RUDN), Moscow, Russia and Moscow State Budgetary Healthcare Institution, Morozov Children’s City Clinica Hospital of the Moscow City Healthcare Department, Moscow, Russia
  • Gennady Chmutin Department of Neurological Disease and Neurosurgery, Peoples of Friendship University of Russia named after Patrice Lumumba (RUDN), Moscow, Russia and Moscow State Budgetary Healthcare Institution, Morozov Children’s City Clinica Hospital of the Moscow City Healthcare Department, Moscow, Russia
  • Pavel Lobankin Moscow State Budgetary Healthcare Institution, Morozov Children’s City Clinica Hospital of the Moscow City Healthcare Department, Moscow, Russia
  • Egor Chmutin Department of Neurological Disease and Neurosurgery, Peoples of Friendship University of Russia named after Patrice Lumumba (RUDN), Moscow, Russia
  • Farkhad Berdinov Department of Neurological Disease and Neurosurgery, Peoples of Friendship University of Russia named after Patrice Lumumba (RUDN), Moscow, Russia and Moscow State Budgetary Healthcare Institution, Morozov Children’s City Clinica Hospital of the Moscow City Healthcare Department, Moscow, Russia
  • Nazar Annanepesov Department of Neurological Disease and Neurosurgery, Peoples of Friendship University of Russia named after Patrice Lumumba (RUDN), Moscow, Russia and Moscow State Budgetary Healthcare Institution, Morozov Children’s City Clinica Hospital of the Moscow City Healthcare Department, Moscow, Russia
  • Gerald Musa Department of Neurological Disease and Neurosurgery, Peoples of Friendship University of Russia named after Patrice Lumumba (RUDN), Moscow, Russia
  • Meryem Mametgulyyeva Department of Neurological Disease and Neurosurgery, Peoples of Friendship University of Russia named after Patrice Lumumba (RUDN), Moscow, Russia
  • Bipin Chaurasia Department of Neurosurgery, Bhawani Hospital and Research Center, Birgunj, Nepal
  • Victor Nikolaevich-Umerenkov Department of Neurological Disease and Neurosurgery, Peoples of Friendship University of Russia named after Patrice Lumumba (RUDN), Moscow, Russia

DOI:

https://doi.org/10.26676/jevtm.54023

Keywords:

Spontaneous Spinal Epidural Hematoma, Pediatric Population, Brain MRI, Case Report

Abstract

Background: Spontaneous Spinal Epidural Hematoma (SSEH) is a rare emergency in the general population. It is an even rarer entity in the pediatric population.

Case Description: We report two cases: a 15-month-old boy with SSEH, who was presenting with irritability, acute pain, and a 3-year-old girl who presented with left-sided Horner’s syndrome and pain in the left upper extremity. Both patients were misdiagnosed upon admission. At 10 months and 2 months, respectively, after surgery, decompressive surgery was recommended as soon as possible, but this is normally carried out 12 to 24 hours after onset.

Conclusion: The clinical presentation of SSEH is atypical and highly difficult to diagnose in children, especially in infants and toddlers. SSEH should always be included in the differential diagnosis when children present with acute back and neck pain, irritability, and uncontrolled crying.

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Published

2025-08-05

How to Cite

Gordon-Gullanyi, A., Encarnacion-Santos, D. A., Chmutin, G., Lobankin, P., Chmutin, E., Berdinov, F., … Nikolaevich-Umerenkov, V. (2025). The Spontaneous Spinal Epidural Hematoma in Children: Two Case Reports and a Literature Review. Journal of Endovascular Resuscitation and Trauma Management. https://doi.org/10.26676/jevtm.54023

Issue

2025: Online First

Section

Case Reports

License

Copyright (c) 2025 Ayisi Gordon-Gullanyi, Daniel A Encarnacion-Santos, Gennady Chmutin, Pavel Lobankin, Egor Chmutin, Farkhad Berdinov, Nazar Annanepesov, Gerald Musa, Meryem Mametgulyyeva, Bipin Chaurasia, Victor Nikolaevich-Umerenkov

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