Ramanan Sivakumaran1,2, Andrew King3, Istvan Bodi3, Christopher L Chandler4, Daniel C Walsh4,5. 1. Department of Neurosurgery, King's College Hospital, London, UK. ramsivakumaran@doctors.org.uk. 2. Academic Neurosurgery Unit, St George's University of London, Cranmer Terrace, London, SW17 0RE, UK. ramsivakumaran@doctors.org.uk. 3. Department of Neuropathology, King's College Hospital, London, UK. 4. Department of Neurosurgery, King's College Hospital, London, UK. 5. Institute of Psychiatry, King's College University, London, UK.
Abstract
PURPOSE: The occurrence of spinal epidural haematoma of 'spontaneous' origin in adults is a well-documented entity, though it is rare in children. In the literature to date, there are few cases of this kind of spontaneous haematoma proven to be due to an underlying vascular abnormality. METHOD: Retrospective review of two cases of children under 15 years of age with spontaneous epidural spinal haematoma. RESULTS: Underlying arteriovenous malformations were identified in both cases. Intra-operative photographs and histological sections of these anomalies are presented. CONCLUSION: These are the first two such cases described with clinico-pathological correlation.
PURPOSE: The occurrence of spinal epidural haematoma of 'spontaneous' origin in adults is a well-documented entity, though it is rare in children. In the literature to date, there are few cases of this kind of spontaneous haematoma proven to be due to an underlying vascular abnormality. METHOD: Retrospective review of two cases of children under 15 years of age with spontaneous epidural spinal haematoma. RESULTS: Underlying arteriovenous malformations were identified in both cases. Intra-operative photographs and histological sections of these anomalies are presented. CONCLUSION: These are the first two such cases described with clinico-pathological correlation.