“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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Language: | English |
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SpringerOpen
2025-02-01
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Series: | Egyptian Journal of Neurosurgery |
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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. |
format | Article |
id | doaj-art-5b57b88bddeb49dd91bf6fce74eda376 |
institution | Kabale University |
issn | 2520-8225 |
language | English |
publishDate | 2025-02-01 |
publisher | SpringerOpen |
record_format | Article |
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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