• Childs Nerv Syst · Jun 2018

    Case Reports

    Cervicothoracic epidural hematoma in a toddler with miosis, ptosis, nonspecific symptoms, and no history of major trauma: case report.

    • Brandon K Root, Derrek A Schartz, Dan R Calnan, William F Hickey, and David F Bauer.
    • Section of Neurosurgery, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH, 03756, USA. Brandon.K.Root@hitchcock.org.
    • Childs Nerv Syst. 2018 Jun 1; 34 (6): 1259-1262.

    IntroductionSpinal epidural hematomas are uncommon in children. The diagnosis can be elusive as most cases present without a history of trauma, while symptoms can be atypical.Case ReportWe encountered a 35-month-old male presenting with nonspecific symptoms and no history of trauma. He later developed unilateral miosis and ptosis; MRI discovered a subacute cervicothoracic epidural which was promptly evacuated. The patient made an excellent recovery.CoclusionsWe emphasize the frequent absence of identifiable trauma and the importance of thorough imaging when this entity is suspected. Miosis and ptosis, likely representing a partial Horner syndrome, is an extremely rare presentation, this being one of the only reported cases.

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