%0 Journal Article
%T Paresia VI par craneal por hematoma subdural retroclival y espinal postraum¨¢tico: presentaci¨®n de un caso y revisi¨®n de la literatura
%A Catal¨¢-Ant¨²nez
%A I.
%A Quintana-Schmidt
%A C. de
%A Clavel-Laria
%A P.
%A Montes-Graciano
%A G.
%A Molet-Teixid¨®
%A J.
%J Neurocirug¨ªa
%D 2011
%I Scientific Electronic Library Online
%R 10.4321/S1130-14732011000400005
%X introduction: retroclival posttraumatic hematomas are extremely rare and almost exclusive to childhood. only one case of retroclival subdural hematoma has been reported in the literature to date. case report: an 8-year-old boy suffered a severe head injury with cervical hyperextension as the result of a bicycle accident. on admission his initial glasgow coma score was 13 and he had diplopia due to right palsy of the vi nerve. a retroclival subdural hematoma was observed by ct and mri of the craneovertebral junction. management was conservative and a rigid collar was placed. palsy of vi nerve recovered spontaneously at 6 days and at discharge the patient had only cervical pain. follow up at 3 months after the accident showed clinical and radiological resolution. conclusion: traumatic retroclival hematomas are mainly a pediatric entity due to immaturity of the cranio-cervical junction. treatment consists of placement of a rigid collar although clinical progression may require surgical evacuation.
%K retroclival hematoma
%K epidural
%K subdural
%K head trauma injury
%K abducens nerve palsy.
%U http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S1130-14732011000400005&lng=en&nrm=iso&tlng=en