“Spontaneous epidural hematoma in a pediatric patient following pansinusitis: a case report and review of the literature”

Abstract Background Spontaneous epidural hematoma commonly occurs in patients who have coagulopathy, vascular tumors, and vascular malformations. The association between this entity and maxillofacial infection is rare. Case Presentation A 17-year-old male patient presented to our emergency with a de...

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Main Authors: Shahin Nazarpour, Farid Qoorchi Moheb Seraj, Seyed Morteza Sharifzadeh Khavari, Mehran Seadghat, Mohammad Ali Abouei Mehrizi
Format: Article
Language:English
Published: SpringerOpen 2025-02-01
Series:Egyptian Journal of Neurosurgery
Subjects:
Online Access:https://doi.org/10.1186/s41984-025-00345-5
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author Shahin Nazarpour
Farid Qoorchi Moheb Seraj
Seyed Morteza Sharifzadeh Khavari
Mehran Seadghat
Mohammad Ali Abouei Mehrizi
author_facet Shahin Nazarpour
Farid Qoorchi Moheb Seraj
Seyed Morteza Sharifzadeh Khavari
Mehran Seadghat
Mohammad Ali Abouei Mehrizi
author_sort Shahin Nazarpour
collection DOAJ
description Abstract Background Spontaneous epidural hematoma commonly occurs in patients who have coagulopathy, vascular tumors, and vascular malformations. The association between this entity and maxillofacial infection is rare. Case Presentation A 17-year-old male patient presented to our emergency with a decreased level of consciousness. The patient had a history of nasal discharge and fever for about four days. The brain Computed tomography scan revealed a hematoma that was treated with craniotomy. The hematoma culture was positive for staphylococcus aureus, so antibiotic therapy was started for the patient and continued for six weeks. All the symptoms were fully recovered and the patient was discharged without any neurological deficits. Although spontaneous epidural hematoma following craniofacial infection is rare, prompt imaging and hematoma evacuation have been found with higher rates of favorable outcomes and Markley decreased mortality. Conclusion Distinguishing between hematoma and cerebral abscess is slightly difficult. However, consideration of surgery facilitates reaching a reliable diagnosis and treatment.
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issn 2520-8225
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publisher SpringerOpen
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series Egyptian Journal of Neurosurgery
spelling doaj-art-5b57b88bddeb49dd91bf6fce74eda3762025-02-09T12:25:18ZengSpringerOpenEgyptian Journal of Neurosurgery2520-82252025-02-014011610.1186/s41984-025-00345-5“Spontaneous epidural hematoma in a pediatric patient following pansinusitis: a case report and review of the literature”Shahin Nazarpour0Farid Qoorchi Moheb Seraj1Seyed Morteza Sharifzadeh Khavari2Mehran Seadghat3Mohammad Ali Abouei Mehrizi4Neurosurgery Department, Ghaem Hospital, Mashhad University of Medical SciencesNeurosurgery Department, Ghaem Hospital, Mashhad University of Medical SciencesNeurosurgery Department, Ghaem Hospital, Mashhad University of Medical SciencesNeurosurgery Department, Mir Hoseini Hospital, Shiraz University of Medical SciencesNeurosurgery Department, Ghaem Hospital, Mashhad University of Medical SciencesAbstract Background Spontaneous epidural hematoma commonly occurs in patients who have coagulopathy, vascular tumors, and vascular malformations. The association between this entity and maxillofacial infection is rare. Case Presentation A 17-year-old male patient presented to our emergency with a decreased level of consciousness. The patient had a history of nasal discharge and fever for about four days. The brain Computed tomography scan revealed a hematoma that was treated with craniotomy. The hematoma culture was positive for staphylococcus aureus, so antibiotic therapy was started for the patient and continued for six weeks. All the symptoms were fully recovered and the patient was discharged without any neurological deficits. Although spontaneous epidural hematoma following craniofacial infection is rare, prompt imaging and hematoma evacuation have been found with higher rates of favorable outcomes and Markley decreased mortality. Conclusion Distinguishing between hematoma and cerebral abscess is slightly difficult. However, consideration of surgery facilitates reaching a reliable diagnosis and treatment.https://doi.org/10.1186/s41984-025-00345-5Epidural hematomaInfectionPediatricSinusitis
spellingShingle Shahin Nazarpour
Farid Qoorchi Moheb Seraj
Seyed Morteza Sharifzadeh Khavari
Mehran Seadghat
Mohammad Ali Abouei Mehrizi
“Spontaneous epidural hematoma in a pediatric patient following pansinusitis: a case report and review of the literature”
Egyptian Journal of Neurosurgery
Epidural hematoma
Infection
Pediatric
Sinusitis
title “Spontaneous epidural hematoma in a pediatric patient following pansinusitis: a case report and review of the literature”
title_full “Spontaneous epidural hematoma in a pediatric patient following pansinusitis: a case report and review of the literature”
title_fullStr “Spontaneous epidural hematoma in a pediatric patient following pansinusitis: a case report and review of the literature”
title_full_unstemmed “Spontaneous epidural hematoma in a pediatric patient following pansinusitis: a case report and review of the literature”
title_short “Spontaneous epidural hematoma in a pediatric patient following pansinusitis: a case report and review of the literature”
title_sort spontaneous epidural hematoma in a pediatric patient following pansinusitis a case report and review of the literature
topic Epidural hematoma
Infection
Pediatric
Sinusitis
url https://doi.org/10.1186/s41984-025-00345-5
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