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Retroclival hematoma: two case reports and a literature review
- Authors: Khodorovskaya A.M.1,2, Kondrashev I.A1, Mandal V.1, Lyapin A.P.1
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Affiliations:
- N.F. Filatov Children City Clinical Hospital No. 5
- H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
- Issue: Vol 8, No 4 (2020)
- Pages: 467-472
- Section: Clinical cases
- URL: https://journals.eco-vector.com/turner/article/view/33920
- DOI: https://doi.org/10.17816/PTORS33920
- ID: 33920
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Abstract
Background. Тraumatic hematomas in the posterior fossa rarely occur, which account for 0.01%–0.6% of brain injury cases. Retroclival location for such hematomas is uncommon, as they are mostly epidural and diagnosed almost exclusively in the pediatric population.
Clinical cases. Herein, we report two pediatric cases of traumatic epidural and traumatic subdural retroclival hematomas that developed after high-energy trauma in motor-vehicle accidents.
Discussion. Related studies were reviewed, and anatomical features and neuroimaging findings associated with various compartments of the retroclival hemorrhage in children were discussed.
Conclusion. Considering the nonspecific clinical features and special topographic correlation of anatomical structures in this region, neuroimaging is regarded as the most reliable method to diagnose and correctly classify this pathology, which is essential for further treatment.
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About the authors
Alina M. Khodorovskaya
N.F. Filatov Children City Clinical Hospital No. 5; H. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma Surgery
Author for correspondence.
Email: alinamyh@gmail.com
ORCID iD: 0000-0002-2772-6747
SPIN-code: 3348-8038
neurosurgeon, Outpatients Department; MD, Scientific Associate of Physiology and Biomechanics Research Laboratory
Russian Federation, Saint-PetersburgIgor A Kondrashev
N.F. Filatov Children City Clinical Hospital No. 5
Email: kigan777@gmail.com
ORCID iD: 0000-0002-3086-4358
MD, PhD, Honored Doctor of the Russian Federation, Head of the Department of Diagnostic Imaging
Russian Federation, Saint PetersburgVaishali Mandal
N.F. Filatov Children City Clinical Hospital No. 5
Email: bitctmri2001@mail.ru
ORCID iD: 0000-0002-9211-1378
MD, PhD, Radiologist, Department of Diagnostic Imaging
Russian Federation, Saint PetersburgAndrey P. Lyapin
N.F. Filatov Children City Clinical Hospital No. 5
Email: aplapin@mail.ru
MD, Head of the Department of Neurosurgery
Russian Federation, Saint PetersburgReferences
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