Retroclival epidural hematoma: A rare location of epidural hematoma, case report, and review of literature

Retroclival epidural hematoma in adults is uncommon. Although most cases are associated with craniocervical trauma, other mechanisms have been reported, such as coagulopathy, vascular lesions, and pituitary apoplexy. We report two adults diagnosed with retroclival epidural hematoma. One patient was...

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Main Authors: Yusuf Sukru Caglar, Koral Erdogan, Cemil Mustafa Kilinc, Orkhan Mammadkhanli, Onur Ozgural, Umit Eroglu
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2020-01-01
Series:Journal of Craniovertebral Junction and Spine
Subjects:
Online Access:http://www.jcvjs.com/article.asp?issn=0974-8237;year=2020;volume=11;issue=4;spage=342;epage=346;aulast=Caglar
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spelling doaj-86c2375163c14760ba42b198db328d1f2020-12-02T13:03:36ZengWolters Kluwer Medknow PublicationsJournal of Craniovertebral Junction and Spine0974-82372020-01-0111434234610.4103/jcvjs.JCVJS_97_20Retroclival epidural hematoma: A rare location of epidural hematoma, case report, and review of literatureYusuf Sukru CaglarKoral ErdoganCemil Mustafa KilincOrkhan MammadkhanliOnur OzguralUmit ErogluRetroclival epidural hematoma in adults is uncommon. Although most cases are associated with craniocervical trauma, other mechanisms have been reported, such as coagulopathy, vascular lesions, and pituitary apoplexy. We report two adults diagnosed with retroclival epidural hematoma. One patient was an 89-year-old male with leukemia and thrombocytopenia who sustained a fall and developed a traumatic retroclival epidural hematoma with brainstem compression; surgery could not be performed due to his clinical condition and he died 5 days later. The other patient was a 78-year-old female with atrial fibrillation who developed a spontaneous retroclival epidural hematoma as a result of warfarin use; she was treated conservatively with anticoagulant reversal and methylprednisolone and was subsequently discharged without neurological deficit. Retroclival hematomas are primarily treated conservatively due to the difficulty of surgical approach. The bleeding mechanism and dural and venous anatomy of this region tend to limit hematoma expansion.http://www.jcvjs.com/article.asp?issn=0974-8237;year=2020;volume=11;issue=4;spage=342;epage=346;aulast=Caglardural venous anatomyretroclival hematomathrombocytopeniawarfarin
collection DOAJ
language English
format Article
sources DOAJ
author Yusuf Sukru Caglar
Koral Erdogan
Cemil Mustafa Kilinc
Orkhan Mammadkhanli
Onur Ozgural
Umit Eroglu
spellingShingle Yusuf Sukru Caglar
Koral Erdogan
Cemil Mustafa Kilinc
Orkhan Mammadkhanli
Onur Ozgural
Umit Eroglu
Retroclival epidural hematoma: A rare location of epidural hematoma, case report, and review of literature
Journal of Craniovertebral Junction and Spine
dural venous anatomy
retroclival hematoma
thrombocytopenia
warfarin
author_facet Yusuf Sukru Caglar
Koral Erdogan
Cemil Mustafa Kilinc
Orkhan Mammadkhanli
Onur Ozgural
Umit Eroglu
author_sort Yusuf Sukru Caglar
title Retroclival epidural hematoma: A rare location of epidural hematoma, case report, and review of literature
title_short Retroclival epidural hematoma: A rare location of epidural hematoma, case report, and review of literature
title_full Retroclival epidural hematoma: A rare location of epidural hematoma, case report, and review of literature
title_fullStr Retroclival epidural hematoma: A rare location of epidural hematoma, case report, and review of literature
title_full_unstemmed Retroclival epidural hematoma: A rare location of epidural hematoma, case report, and review of literature
title_sort retroclival epidural hematoma: a rare location of epidural hematoma, case report, and review of literature
publisher Wolters Kluwer Medknow Publications
series Journal of Craniovertebral Junction and Spine
issn 0974-8237
publishDate 2020-01-01
description Retroclival epidural hematoma in adults is uncommon. Although most cases are associated with craniocervical trauma, other mechanisms have been reported, such as coagulopathy, vascular lesions, and pituitary apoplexy. We report two adults diagnosed with retroclival epidural hematoma. One patient was an 89-year-old male with leukemia and thrombocytopenia who sustained a fall and developed a traumatic retroclival epidural hematoma with brainstem compression; surgery could not be performed due to his clinical condition and he died 5 days later. The other patient was a 78-year-old female with atrial fibrillation who developed a spontaneous retroclival epidural hematoma as a result of warfarin use; she was treated conservatively with anticoagulant reversal and methylprednisolone and was subsequently discharged without neurological deficit. Retroclival hematomas are primarily treated conservatively due to the difficulty of surgical approach. The bleeding mechanism and dural and venous anatomy of this region tend to limit hematoma expansion.
topic dural venous anatomy
retroclival hematoma
thrombocytopenia
warfarin
url http://www.jcvjs.com/article.asp?issn=0974-8237;year=2020;volume=11;issue=4;spage=342;epage=346;aulast=Caglar
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