Spontaneous spinal epidural hematoma in a 4-month-old infant.

Study design:A case report and a review of literature.Objectives:To present the first youngest infant of a 4-month-old boy with spontaneous spinal epidural hematoma in cervicothoracic spine.Setting:National Cheng Kung University Hospital, Tainan, Taiwan.Methods:A 4-month-old boy who initially presented with irritable crying, neck stiffness, and fever followed by progressive quadriparesis. Magnetic resonance imaging (MRI) of the spine disclosed a space-occupying lesion on the right posterior–lateral aspect of the cervicothoracic spinal canal. Laminectomy with reconstruction in situ from C4 to T4 was performed 5 days after the onset of symptoms.Results:The boy had gradual improvement of his neurological status. Follow-up visit 1 year later, the infant's growth and development was within normal limit without any neurological deficits; his repeat MRI showed complete fusion of each implanted lamina and well expansion of the spinal cord.Conclusions:Prompt surgical decompression is valuable, irrespective of the time interval between symptom onset and operation in infant.Spinal Cord (2007) 45, 586–590; doi:10.1038/sj.sc.3101976; published online 3 October 2006 [ABSTRACT FROM AUTHOR]