Pediatric emergency care
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Pediatric emergency care · Dec 2005
Case ReportsTraumatic spinal epidural hematoma-unusual cause of torticollis in a child.
Traumatic spinal epidural hematoma is rare in children. The presentation could be nonspecific, leading to a delay in diagnosis. ⋯ Irritability and torticollis after a neck trauma in an afebrile child should alert to the possibility of spinal cord compression. Early imaging and early decompression will minimize morbidity.
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Pediatric emergency care · Dec 2005
Case ReportsCritical airway obstruction, superior vena cava syndrome, and spontaneous cardiac arrest in a child with acute leukemia.
We report the unusual presentation of a previously healthy girl with sudden cardiopulmonary arrest caused by acute lymphoblastic leukemia and mediastinal involvement leading to acute tracheal and airway obstruction. Despite active resuscitation and mechanical ventilation, she developed severe cerebral edema as a result of cerebral asphyxia. ⋯ Her white cell count spontaneously reverted to reference range without chemotherapy. This report serves to alert clinicians of the oncological emergency of "superior mediastinal syndrome" causing airway and superior vena cava obstruction leading to death in this potentially curable disease.