{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T10:07:00Z","timestamp":1788430020916,"version":"build-2803163510"},"reference-count":14,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JNS"],"published-print":{"date-parts":[[2009,6]]},"abstract":"<jats:p>Retroclival hematomas are a rare entity. They are usually associated with significant trauma, and patients frequently have focal neurological deficits, especially cranial nerve palsies. Previous case reports of epidural clival hematomas have been described almost exclusively in the pediatric population. The authors report a unique case of traumatic clival subdural hematoma, which has never been described in an adult except in the context of hemophilia.<\/jats:p>\n<jats:p>An 18-year-old man presented with continuing nausea and headaches following a seemingly trivial head injury. He was found to have a posterior fossa retroclival hematoma extending into the spinal subdural space but without any neurological deficits. He was treated conservatively, with a good outcome. The authors discuss the possible mechanisms of injury, management, and complications related to this rare condition, and they review the pertinent literature.<\/jats:p>","DOI":"10.3171\/2008.9.jns17651","type":"journal-article","created":{"date-parts":[[2008,11,21]],"date-time":"2008-11-21T18:00:41Z","timestamp":1227290441000},"page":"1238-1241","source":"Crossref","is-referenced-by-count":22,"title":["Traumatic clival subdural hematoma in an adult"],"prefix":"10.3171","volume":"110","author":[{"given":"David","family":"Casey","sequence":"first","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bedansh Roy","family":"Chaudhary","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul A.","family":"Leach","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Herwadkar","sequence":"additional","affiliation":[{"name":"Neuroradiology, Salford Royal Foundation Trust, Manchester, United Kingdom"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Konstantina","family":"Karabatsou","sequence":"additional","affiliation":[{"name":"Departments of Neurosurgery and"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"2 Suppl","key":"b1-17651","series-title":"J Neurosurg","first-page":"175","article-title":"Acute clival and spinal subdural hematoma with spontaneous resolution: clinical and radiographic correlation in support of a proposed pathophysiological mechanism","volume":"103","author":"Ahn","year":"2005"},{"key":"b2-17651","series-title":"J Trauma","doi-asserted-by":"publisher","first-page":"406","DOI":"10.1097\/00005373-199403000-00023","article-title":"Conservative treatment of a traumatic subdural hematoma of the posterior fossa in a child: case report","volume":"36","author":"Ashkenazi","year":"1994"},{"key":"b3-17651","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1007\/BF02307411","article-title":"Acute traumatic posterior fossa subdural haematomas","volume":"135","author":"Borzone","year":"1995"},{"key":"b4-17651","series-title":"Acta Neurochir (Wien)","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1007\/BF01809553","article-title":"Extradural haematoma of the posterior fossa: a report of eight cases and a review of the literature","volume":"80","author":"Brambilla","year":"1986"},{"key":"b5-17651","series-title":"Childs Nerv Syst","doi-asserted-by":"publisher","first-page":"726","DOI":"10.1007\/s00381-005-0036-9","article-title":"Post-traumatic acute bilateral abducens nerve palsy in a child","volume":"22","author":"Calisaneller","year":"2006"},{"issue":"6","key":"b6-17651","series-title":"Neurosurg Focus","first-page":"ecp 1","article-title":"Posterior fossa Subdural hematoma due to ruptured arteriovenous malformation. Case Report","volume":"8","author":"Datta","year":"2000"},{"issue":"4 Suppl","key":"b7-17651","series-title":"J Neurosurg","first-page":"321","article-title":"Retroclival hematoma in the pediatric population. Report of two cases and a review of the literature","volume":"105","author":"Guillaume","year":"2006"},{"key":"b8-17651","series-title":"Biomed Sci Instrum","first-page":"86","article-title":"Analysis of pediatric head anthropometry using computed tomography for application to head injury prediction","volume":"43","author":"Loftis","year":"2007"},{"key":"b9-17651","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"590","DOI":"10.3171\/jns.1998.88.3.0590","article-title":"Epidural hematoma of the clivus. 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