Spontaneous spinal epidural hematoma in a 4-month-old infant

J. S. Lee, C. Y. Yu, K. C. Huang, H. W. Lin, C. C. Huang, H. H. Chen

Research output: Contribution to journalArticlepeer-review

17 Citations (Scopus)


Study design: A case report and a review of literature. Objectives: To present the first youngest infant of a 4-month-old boy with spontaneous spinal epidural hematoma in cervicothoracic spine. Setting: National Cheng Kung University Hospital, Tainan, Taiwan. Methods: A 4-month-old boy who initially presented with irritable crying, neck stiffness, and fever followed by progressive quadriparesis. Magnetic resonance imaging (MRI) of the spine disclosed a space-occupying lesion on the right posterior-lateral aspect of the cervicothoracic spinal canal. Laminectomy with reconstruction in situ from C4 to T4 was performed 5 days after the onset of symptoms. Results: The boy had gradual improvement of his neurological status. Follow-up visit 1 year later, the infant's growth and development was within normal limit without any neurological deficits; his repeat MRI showed complete fusion of each implanted lamina and well expansion of the spinal cord. Conclusions: Prompt surgical decompression is valuable, irrespective of the time interval between symptom onset and operation in infant.

Original languageEnglish
Pages (from-to)586-590
Number of pages5
JournalSpinal Cord
Issue number8
Publication statusPublished - Aug 17 2007
Externally publishedYes


  • 4-month-old
  • Infant
  • Spontaneous spinal epidural hematoma

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology
  • Rehabilitation


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