All issues > Volume 39(3); 1996

Case Report

J Korean Pediatr Soc. 1996;39(3):436-440. Published online March 15, 1996.

A Case of Spinal Epidural Hematoma due to Arteriovenous Malformation

Yoon Hee YH Lee¹, Se Wook SW Oh¹, Sang Woo SW Kim¹, Yi Kyeong YK Chun²

¹Department of Pediatrics, College of Medicine, Inje University, Seoul, Korea
²Department of Pathology, Seoul National University College of Medicine, Seoul, Korea

Abstract

Spinal epidural hematoma results from various causes such as use of anticoagulants, hemorrhagic diathesis, pregnancy, labor, arteriovenous malformation and spinal anesthesia as well as idiopathic orgin. We report a 3-year-old boy who was found to have spinal epidural hematoma and presented with lower back pain and fever. He developed paraplegia of lower legs after two consecutive lumbar punctures during two days. The lesion of spinal epidural hematoma was not found with lumbar spinal MRI but with cervico-thorasic one, because the lesion was at the C7-T6 level. Laminectomy was done to evacuate the hematoma and some specimen was obtained, of which pathologic finding was arteriovenous malformation. The boy is receiving physical therapy continuously due to unsatisfactory results with hematoma aspiration procedure and laminectomy treatment.

Keywords :Arteriovenous malformation, Spine, Epidural hematoma Lumbar puncture, Paraplegia