{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,9]],"date-time":"2025-09-09T21:06:13Z","timestamp":1757451973134},"reference-count":19,"publisher":"FapUNIFESP (SciELO)","issue":"2B","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Neuro-Psiquiatr."],"published-print":{"date-parts":[[2003,6]]},"abstract":"<jats:p>Clivus fractures are rare and severe entities, usually associated with vascular or cranial nerve lesions and frequently diagnosed postmortem. Cervical epidural haematomas can be traumatic or spontaneous, manifested in acute or chronic form, and are treated surgically in the majority of cases, although the conservative treatment also can be indicated to patients with incomplete and non-progressive deficits. The authors report the case of a female patient, 8 years old, victim of trampling in public way by a high velocity motorized vehicle, admitted in Glasgow 7, anisocoric pupils (left pupil midriatic), whose radiological investigation showed a transverse fracture of the clivus, cervical epidural haematoma and diffuse axonal injury. The patient was submitted to intracranial pressure monitorization, sedation and conservative treatment with dexamethasone, with good outcome. The authors also present a literature review.<\/jats:p>","DOI":"10.1590\/s0004-282x2003000300034","type":"journal-article","created":{"date-parts":[[2005,4,15]],"date-time":"2005-04-15T14:35:25Z","timestamp":1113575725000},"page":"499-502","source":"Crossref","is-referenced-by-count":9,"title":["Cervical epidural haematoma with clivus fracture: case report"],"prefix":"10.1590","volume":"61","author":[{"given":"Paulo M\u00e1cio Porto de","family":"Melo","sequence":"first","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paulo Abdo do Seixo","family":"Kadri","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean Gon\u00e7alves de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00cdtalo Capraro","family":"Suriano","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergio","family":"Cavalheiro","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando Menezes","family":"Braga","sequence":"additional","affiliation":[{"name":"Universidade Federal de S\u00e3o Paulo,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"929","DOI":"10.3171\/jns.1987.66.6.0929","article-title":"Occlusion of the basilar artery within a fracture of the clivus","volume":"66","author":"Anthony DC","year":"1987","journal-title":"J Neurosurg","ISSN":"http:\/\/id.crossref.org\/issn\/0022-3085","issn-type":"print"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1227\/00006123-199010000-00015","article-title":"Fractures of the clivus: classification and clinical features","volume":"27","author":"Corradino G","year":"1990","journal-title":"Neurosurgery","ISSN":"http:\/\/id.crossref.org\/issn\/0148-396X","issn-type":"print"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"666","DOI":"10.1227\/00006123-198505000-00015","article-title":"Traumatic aneurysm of the posterior inferior cerebellar artery caused by fracture of the clivus","volume":"16","author":"Meguro K","year":"1985","journal-title":"Neurosurgery","ISSN":"http:\/\/id.crossref.org\/issn\/0148-396X","issn-type":"print"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"610","DOI":"10.3171\/jns.1973.39.5.0610","article-title":"Transverse fracture of the clivus","volume":"39","author":"Sanders BB","year":"1973","journal-title":"J Neurosurg","ISSN":"http:\/\/id.crossref.org\/issn\/0022-3085","issn-type":"print"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"588","DOI":"10.3171\/jns.1968.28.6.0588","article-title":"Incarceration of the basilar artery in a frature of the clivus","volume":"28","author":"Sights WP Jr","year":"1968","journal-title":"J Neurosurg","ISSN":"http:\/\/id.crossref.org\/issn\/0022-3085","issn-type":"print"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1136\/jnnp.55.3.239","article-title":"Cervical spinal extradural haematoma causing a transient Brown-Sequard syndrome","volume":"55","author":"Crabbe DCG","year":"1992","journal-title":"J Neurol Neusorurg"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1227\/00006123-198207010-00006","article-title":"Post-traumatic spinal epidural hematoma","volume":"11","author":"Foo D","year":"1982","journal-title":"Neurosurgery","ISSN":"http:\/\/id.crossref.org\/issn\/0148-396X","issn-type":"print"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"410","DOI":"10.1227\/00006123-198903000-00018","article-title":"Traumatic extradural hematoma of the cervical spine","volume":"24","author":"Garza-Mercado R","year":"1989","journal-title":"Neurosurgery","ISSN":"http:\/\/id.crossref.org\/issn\/0148-396X","issn-type":"print"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1097\/00006123-199902000-00106","article-title":"Traumatic epidural hematoma of the cervical spine: magnetic resonance imaging diagnosis and spontaneous resolution: case report","volume":"44","author":"Lefranc F","year":"1999","journal-title":"Neurosurgery","ISSN":"http:\/\/id.crossref.org\/issn\/0148-396X","issn-type":"print"},{"key":"ref10","first-page":"508","article-title":"Spinal epidural hematomas","volume":"16","author":"Lowrey JL","year":"1959","journal-title":"Experience with three patients. 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