{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,16]],"date-time":"2026-04-16T13:07:56Z","timestamp":1776344876818,"version":"3.51.2"},"reference-count":40,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\"><jats:title>Background:<\/jats:title><jats:p>Spontaneous spinal epidural hematomas (SSEH), unrelated to trauma, epidural anesthesia, or surgery, are rare in the pediatric population. Here, a 1-year-old male with hemophilia presented with a magnetic resonance (MR)-documented SSEH and was successfully treated with a C5-T10 right hemilaminectomy.<\/jats:p><\/jats:sec><jats:sec id=\"st2\"><jats:title>Case Description:<\/jats:title><jats:p>A 1-year-old male with hemophilia presented with quadriparesis. The holo-spine magnetic resonance imaging with contrast showed a posterior cervicothoracic compressive epidural lesion extending from C3 to L1 consistent with an epidural hematoma. He underwent a C5 to T10 right-sided hemilaminectomy for clot removal, following which his motor deficits fully resolved. A literature review of SSEH attributed to hemophilia revealed that 28 of 38 cases were effectively treated conservatively, while only 10 cases warranted surgical decompression.<\/jats:p><\/jats:sec><jats:sec id=\"st3\"><jats:title>Conclusion:<\/jats:title><jats:p>Select patients with SSEH attributed to hemophilia with severe MR-documented cord\/cauda equina compromise and significant accompanying neurological deficits may require emergent surgical decompression.<\/jats:p><\/jats:sec>","DOI":"10.25259\/sni_82_2023","type":"journal-article","created":{"date-parts":[[2023,2,24]],"date-time":"2023-02-24T07:16:09Z","timestamp":1677222969000},"page":"69","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Spontaneous spinal epidural hematoma in a pediatric hemophiliac"],"prefix":"10.25259","volume":"14","author":[{"given":"Gianluca","family":"Scalia","sequence":"first","affiliation":[{"name":"Department of Head and Neck 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