Epidural hematoma of the clivus

Case report

Hidekatsu Mizushima M.D., Ph.D. 1 , Nobusuke Kobayashi M.D. 1 , Yoshiharu Sawabe M.D. 1 , Kazuo Hanakawa M.D., Ph.D. 1 , Hiroyuki Jinbo M.D., Ph.D. 1 , Masataka Iida M.D., Ph.D. 1 , Takanobu Iwata M.D., Ph.D. 1 and Kiyoshi Matsumoto M.D., Ph.D. 1
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  • 1 Department of Neurosurgery, Shioda Hospital, Chiba, Japan; and Department of Neurosurgery, Showa University School of Medicine, Tokyo, Japan
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✓ This 8-year-old boy presented with a rare case of epidural hematoma of the clivus and atlantoaxial dislocation caused by a hyperflexion injury sustained in a traffic accident. Magnetic resonance (MR) imaging demonstrated an epidural hematoma in the posterior fossa that compressed the pons and medulla. On admission, the patient was confused and had bilateral abducens palsy. He was treated conservatively, and 6 months after admission, the epidural hematoma on the clivus had disappeared on MR imaging and the bilateral abducens palsy was cured. Only two such cases have been reported in the literature. In this report, the authors discuss the mechanism of hematoma formation in this region of the brain.

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Contributor Notes

Address reprint requests to: H. Mizushima, M.D., Department of Neurosurgery, Showa University School of Medicine, 1–5–8 Hatanodai, Shinagawa-ku, Tokyo 142, Japan.
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