| CASE REPORT |
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| Year : 2021 | Volume
: 16
| Issue : 1 | Page : 61-64 |
Spontaneous spinal intramedullary hematoma in an infant: A rare entity and a diagnostic challenge
Vibhu Shankar Parashar1, Priyanka Aswal2, Tarun Kumar Gupta1, Gaurav Jaiswal1
1 Department of Neurosurgery, RNT Medical College, Udaipur, India
2 Department of Pathology, Geetanjali Medical College, Udaipur, Rajasthan, India
Correspondence Address:
Dr. Vibhu Shankar Parashar
Department of Neurosurgery, RNT Medical College, Flat no. 202, 2nd floor, Gold Coast Apartments, 58, New Fatehpura, Udaipur.
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jpn.JPN_170_18
Introduction: Spontaneous spinal intramedullary hematoma is a rare cause of acute paraplegia in adults and is extremely uncommon in children. Very few cases with no apparent etiology (such as trauma, vascular lesions) have been reported in adults. We did not find any apparent cause for the hematoma in our patient and to the best of our knowledge, this is first case reported in infants. Case Report: We present the case of a 6-month-old female child admitted with acute-onset paraplegia, bladder bowel involvement, and no history of trauma or bleeding diathesis. The MRI showed an intramedullary mass extending from the D11-L1 level. The mass was excised and histopathology revealed it to be an organizing hematoma. Conclusion: Our case highlights that though it is a rare entity, there is a need for more awareness when dealing with children with sudden paraplegia, acute retention of urine, or neurological deficit. Early diagnosis and prompt surgery are crucial to achieve the best neurological outcome.
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