Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.17/198
Título: Traumatic Clivus Epidural Hematoma: Case Report and Review of the Literature
Autor: Ratilal, B
Castanho, P
Vara Luiz, C
Antunes, JO
Palavras-chave: Adulto
Mulher
Fossa Craniana Posterior
Hematoma Epidural Craniano
Lesões Cervicais
Data: 2006
Editora: Elsevier
Citação: Surg Neurol. 2006 Aug;66(2):200-2
Resumo: BACKGROUND: Traumatic clival epidural hematoma is an extremely rare reported entity. CASE DESCRIPTION: We describe the case of a 26-year-old woman involved in a car accident who presented with a Glasgow Coma Scale score of 13, bilateral abducens palsy, bilateral numbness on the mandibular territory of the trigeminal nerve, and left hypoglossal palsy. Radiological examinations revealed a clival epidural hematoma. The patient was managed conservatively, with clinical improvement of her neurological condition. This is the first traumatic clival epidural hematoma reported in an adult. From a review of the literature, we found only 8 cases. CONCLUSION: The pathophysiology of these hematomas is still a subject of debate; occipitoatlantoaxial ligamentous instability may play a role in it. In one third of the cases, bilateral cranial nerve palsies were associated. Apparently, they have a benign outcome.
URI: http://hdl.handle.net/10400.17/198
Aparece nas colecções:NCIR - Artigos

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