Evidence map›Paper›PMID 39399075›Full record

ArticleJournal of spine surgery (Hong Kong)2024

Spontaneous spinal epidural hematoma in children: a case report and literature review.

Marthinson Andrew Tombeng, Kazuma Doi, Tjokorda Gde Bagus Mahadewa, Satoshi Tani, Junichi Mizuno

Abstract readCase Reports
In one paragraph

Article in Journal of spine surgery (Hong Kong), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Electric massage chair-induced cervical spinal epidural hematoma.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Marthinson Andrew TombengDepartment of Neurosurgery, Faculty of Medicine, Udayana University, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Bali, Indonesia.ORCID https://orcid.org/0000-0002-5335-3163
Kazuma DoiCenter for Minimally Invasive Spinal Surgery, Shin-Yurigaoka General Hospital, Kawasaki, Kanagawa, Japan.ORCID https://orcid.org/0000-0001-8552-2921
Tjokorda Gde Bagus MahadewaDepartment of Neurosurgery, Faculty of Medicine, Udayana University, Prof. Dr. I.G.N.G. Ngoerah General Hospital, Bali, Indonesia.ORCID https://orcid.org/0000-0002-4445-4085
Satoshi TaniCenter for Minimally Invasive Spinal Surgery, Shin-Yurigaoka General Hospital, Kawasaki, Kanagawa, Japan.ORCID https://orcid.org/0009-0001-1271-9093
Junichi MizunoCenter for Minimally Invasive Spinal Surgery, Shin-Yurigaoka General Hospital, Kawasaki, Kanagawa, Japan.ORCID https://orcid.org/0000-0003-0682-5698

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Spontaneous spinal epidural hematoma (SSEH) is a hematoma within the spinal epidural space without the underlying causes of trauma or iatrogenic and is considered a very rare neurosurgical emergency disease in children that can cause spinal cord compression and neurological dysfunction. This article provides useful information and guidance to the clinician about SSEH in children regarding its specific characteristics, clinical presentation, and management strategy to achieve a better outcome. Case Description: A 14-year-old boy presented with an acute onset of neck pain radiating to the right shoulder and progressive right hemiparesis. The cervical spine magnetic resonance imaging (MRI) revealed a right posterolateral hyperacute spinal epidural hematoma at C4-C7. The patient underwent an emergent open-door laminoplasty (C5-C6) with partial laminectomy (C4 and C7) and complete evacuation of the hematoma. The patient had a complete recovery after surgery with no neurological deficits. A literature search in the PubMed electronic database was performed to identify published English articles between January 2000 to December 2023 focusing on SSEH in children. We have found 81 articles with a total of 95 cases of SSEH in children, providing comparison data on sex, age, clinical presentation, etiology, location of the hematoma, treatment modalities, and outcomes. Conclusions: SSEH in children is a very rare neurosurgical emergency disease. Prompt and proper examination is essential to establish the diagnosis and early surgical decompression. Adequate surgical decompression may reduce intradural pressure and increase the blood perfusion to the spinal cord, thus, this will eventually reduce ischemia and prevent secondary spinal injury. As a result, complete recovery can be expected.

Indexed as

case reportcervical laminoplastychildrenSpontaneous spinal epidural hematoma (SSEH)

Identifiers

PMID39399075
PMCPMC11467268

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.