Concomitant spontaneous spinal and posterior fossa subdural hematoma in an 11-year-old child with aplastic anemia: a case report and review of literature

• Published in: Child's nervous system 2022-11, Vol.38 (11), p.2251-2255
• Main Authors: Abou-Madawi, Ali M., Elkazaz, Mohamed K., Abdelhamid, Alaa El-Din Saad
• Format: Article
• Language: English
• Subjects: Case Report; Medicine; Medicine & Public Health; Neurosciences; Neurosurgery
• ISSN: 0256-7040; 1433-0350
• DOI: 10.1007/s00381-022-05584-7

Purpose The current article describes an 11-year-old male who has aplastic anemia with an extremely rare condition, that is, concomitant posterior fossa SDH and spinal SDH. Methods This is a case report and review of literature. Case presentation This case presents an 11-year-old male known to have aplastic anemia complained of neck and back pain, headache, and persistent vomiting for 3 days. He had no history of head or spine trauma at all. His parents are relatives “positive consanguinity,” and his sister suffers from aplastic anemia. Clinical examination revealed severe pallor at the time of presentation, with no neurologic or locomotor deficit and positive Kernig’s sign. Conclusion Patients with aplastic anemia or any bleeding disorder conditions should be investigated thoroughly if symptoms denoted a CNS pathology. Concomitant cranial and spinal SDH rarely occurs, and more studies are advocated to be structured to investigate the specific pathophysiology and etiologies of this condition.