ASYMPTOMATIC CHRONIC EPIDURAL HEMATOMA IN A CHILD AS A RESULT OF EXTRACRANIAL DECOMPRESSION


YAKA E. , PEKDEMİR M. , KAMA A., SARISOY H. T. , YILMAZ S.

JOURNAL OF EMERGENCY MEDICINE, cilt.46, ss.482-485, 2014 (SCI İndekslerine Giren Dergi)

  • Cilt numarası: 46 Konu: 4
  • Basım Tarihi: 2014
  • Doi Numarası: 10.1016/j.jemermed.2013.09.020
  • Dergi Adı: JOURNAL OF EMERGENCY MEDICINE
  • Sayfa Sayısı: ss.482-485

Özet

Background: Epidural hematoma (EDH) in children is a diagnostic challenge due to its nonspecific clinical presentation. Asymptomatic chronic epidural hematoma is a very rare entity. Reports of spontaneous decompression into the subgaleal spaces are limited with acute epidural hematomas in the literature. Objective: We report a child presenting with chronic epidural hematoma at 15 days after a head trauma. She remained asymptomatic, owing to spontaneous decompression via a skull fracture. We intend to remind emergency physicians to be alert about epidural hematomas in asymptomatic children in the presence of a history of, even minor and distant, trauma. Case Presentation: An 8-year-old girl presented to the Emergency Department with a swelling in the right parietal region. She had fallen at the playground and struck her head on the ground 15 days prior. Computed tomography showed a mixed-density subacute-chronic parietal epidural hematoma with a linear fracture overlying it. There was no evidence of midline shift or ipsilateral ventricular compression. Conclusion: An initially minimal but expanding EDH in a child can remain asymptomatic even in the later phases, owing to the spontaneous decompression through a skull fracture. (C) 2014 Elsevier Inc.