{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T10:56:49Z","timestamp":1770116209865,"version":"3.49.0"},"reference-count":90,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"1","license":[{"start":{"date-parts":[[2025,1,6]],"date-time":"2025-01-06T00:00:00Z","timestamp":1736121600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2025,1,6]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Posttraumatic retroclival hematomas are rare pathologies among pediatric patients and can result in cranial nerve palsies. The authors sought to survey the literature and characterize the risk factors, treatment considerations, and overall outcomes for pediatric patients experiencing posttraumatic retroclival hematomas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A search of the Ovid Embase, Scopus, PubMed, and Web of Science databases from January 1986 to May 2024 was performed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Additionally, the authors report a novel case of pediatric retroclival hematoma. The systematic review identified 41 eligible articles describing 64 individual cases of posttraumatic clival\/retroclival hematoma in pediatric patients. The incidence of abducens nerve palsy in the setting of posttraumatic retroclival hematoma was 40%, and the rate of complete recovery of abducens nerve function was 73%. Analyses revealed that a higher initial Glasgow Coma Scale (GCS) score correlated with general neurological recovery (p &lt; 0.05). However, no significant difference was found in GCS scores between patients with complete and those with incomplete abducens nerve recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>There is a high rate of spontaneous recovery of abducens nerve function in patients with abducens palsy in the setting of posttraumatic retroclival hematoma. While initial GCS scores can predict general neurological recovery, factors influencing abducens nerve palsy resolution remain unclear.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE24474\">https:\/\/thejns.org\/doi\/10.3171\/CASE24474<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case24474","type":"journal-article","created":{"date-parts":[[2025,1,6]],"date-time":"2025-01-06T01:47:03Z","timestamp":1736128023000},"source":"Crossref","is-referenced-by-count":0,"title":["Traumatic retroclival hematoma resulting in abducens nerve palsy: illustrative case"],"prefix":"10.3171","volume":"9","author":[{"given":"Ali","family":"Gharibi Loron","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin L.","family":"Webb","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Mayo Clinic, Rochester, Minnesota"},{"name":"Mayo Clinic Alix School of Medicine, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan M.","family":"Naylor","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward S.","family":"Ahn","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, Mayo Clinic, Rochester, Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"3","key":"bib1","series-title":"Cukurova Med J","first-page":"560","article-title":"Traumatic craniocervical junction ligamentous and brain stem injuries and retroclival hematoma: unusual combination of craniocervical junction injuries","volume":"42","author":"\u00c7if\u00e7i","year":"2017","unstructured":"\u00c7if\u00e7i BE\u00c7if\u00e7i G\u00c7G\u00f6kdemir MDuman E. 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J Neurotrauma. 2001;18(11):1289-1293."},{"issue":"6","key":"bib18","series-title":"Pediatr Neurosurg","first-page":"339","article-title":"Traumatic retroclival epidural hematoma in a child","volume":"39","author":"Yang","year":"2003","unstructured":"Yang BP. Traumatic retroclival epidural hematoma in a child. Pediatr Neurosurg. 2003;39(6):339-340."},{"issue":"1","key":"bib19","series-title":"Clin Neurol Neurosurg","first-page":"67","article-title":"Retroclival epidural hematoma secondary to a longitudinal clivus fracture","volume":"108","author":"Paterakis","year":"2005","unstructured":"Paterakis KNKarantanas AHHadjigeorgiou GMAnagnostopoulos VKaravelis A. Retroclival epidural hematoma secondary to a longitudinal clivus fracture. 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Childs Nerv Syst. 2022;38(2):485-489."},{"issue":"11","key":"bib32","series-title":"J Neurosurg Case Lessons","first-page":"CASE21712","article-title":"Atlanto-occipital dislocation in a child: a challenging diagnosis. Illustrative case","volume":"3","author":"Garvayo","year":"2022","unstructured":"Garvayo MBelouaer ABarges-Coll J. Atlanto-occipital dislocation in a child: a challenging diagnosis. Illustrative case. J Neurosurg Case Lessons. 2022;3(11):CASE21712"},{"issue":"3","key":"bib33","series-title":"Childs Nerv Syst","first-page":"807","article-title":"Isolated pediatric retroclival epidural hematoma following a minor blunt head trauma: a case report with review of the literature","volume":"39","author":"Borni","year":"2023","unstructured":"Borni MAbdelmouleh SBounemra MBoudawara MZ. Isolated pediatric retroclival epidural hematoma following a minor blunt head trauma: a case report with review of the literature. 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Neurocirugia (Astur). 2011;22(4):337-341."},{"key":"bib35","series-title":"J Pediatr Surg Case Rep","first-page":"102406","article-title":"Pediatric mandibular fracture with concomitant craniovertebral ligament injuries and retroclival hematoma: a rare occurrence","volume":"85","author":"Abdullah","year":"2022","unstructured":"Abdullah MFSivanganam SOmar MYusoff BM. Pediatric mandibular fracture with concomitant craniovertebral ligament injuries and retroclival hematoma: a rare occurrence. J Pediatr Surg Case Rep. 2022;85:102406."},{"issue":"3","key":"bib36","series-title":"HK J Rad","first-page":"178","article-title":"Traumatic paediatric retroclival epidural haematoma","volume":"14","author":"Al-Omari","year":"2011","unstructured":"Al-Omari MAlbtoush ORousan L. Traumatic paediatric retroclival epidural haematoma. HK J Rad. 2011;14(3):178."},{"issue":"4","key":"bib37","series-title":"Pediatr Traum Orthop Reconstr Surg","first-page":"467","article-title":"Retroclival hematoma: two case reports and a literature review","volume":"8","author":"Khodorovskaya","year":"2020","unstructured":"Khodorovskaya AMKondrashev IAMandal VLyapin AP. Retroclival hematoma: two case reports and a literature review. Pediatr Traum Orthop Reconstr Surg. 2020;8(4):467-472."},{"issue":"1","key":"bib38","series-title":"Pan Afr Med J","first-page":"329","article-title":"Traumatic retroclival","volume":"37","author":"Adekanmbi","year":"2020","unstructured":"Adekanmbi AAAdeolu AA. Traumatic retroclival subdural hematoma: case report and a review of the literature. Pan Afr Med J. 2020;37(1):329."},{"issue":"1","key":"bib39","series-title":"J Emerg Med","first-page":"67","article-title":"Isolated retrodental epidural hematoma without dens fracture","volume":"58","author":"Raffee","year":"2020","unstructured":"Raffee LAbuzayed BAl Qawasmeh MAlawneh KAbdalla KAleshawi A. Isolated retrodental epidural hematoma without dens fracture. J Emerg Med. 2020;58(1):67-71."},{"issue":"2","key":"bib40","series-title":"Can J Neurol Sci","first-page":"338","article-title":"Pediatric traumatic retroclival epidural hematoma","volume":"38","author":"McDougall","year":"2011","unstructured":"McDougall CMSankar TMehta VPugh JA. Pediatric traumatic retroclival epidural hematoma. Can J Neurol Sci. 2011;38(2):338-340."},{"issue":"1","key":"bib41","series-title":"J AAPOS","first-page":"69","article-title":"Abducens nerve palsy associated with a clival epidural hematoma","volume":"15","author":"Topcu-Yilmaz","year":"2011","unstructured":"Topcu-Yilmaz PRepka MX. Abducens nerve palsy associated with a clival epidural hematoma. J AAPOS. 2011;15(1):69-70."},{"issue":"2","key":"bib42","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. Case report","volume":"103","author":"Ahn","year":"2005","unstructured":"Ahn ESSmith ER. Acute clival and spinal subdural hematoma with spontaneous resolution: clinical and radiographic correlation in support of a proposed pathophysiological mechanism. Case report. J Neurosurg. 2005;103(2suppl):175-179."},{"issue":"4","key":"bib43","series-title":"Childs Nerv Syst","first-page":"1199","article-title":"Clival fractures in children: a challenge in the trauma room setting!","volume":"37","author":"Fromm","year":"2021","unstructured":"Fromm JMeuwly EWendling-Keim DLehner MKammer B. 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Neurol Asia. 2021;26(3):603-605."},{"issue":"7","key":"bib13","series-title":"Childs Nerv Syst","first-page":"726","article-title":"Posttraumatic acute bilateral abducens nerve palsy in a child","volume":"22","author":"Calisaneller","year":"2006","unstructured":"Calisaneller TOzdemir OAltinors N. Posttraumatic acute bilateral abducens nerve palsy in a child. Childs Nerv Syst. 2006;22(7):726-728."},{"issue":"4","key":"bib14","series-title":"Turk Neurosurg","first-page":"366","article-title":"Review of a series with abducens nerve palsy","volume":"18","author":"Ayberk","year":"2008","unstructured":"Ayberk GOzveren MFYildirim TErcan KCay EKKo\u00e7ak A. Review of a series with abducens nerve palsy. Turk Neurosurg. 2008;18(4):366-373."},{"issue":"2","key":"bib15","series-title":"Neurosurgery","first-page":"194","article-title":"Clivus epidural hematoma: a case report","volume":"18","author":"Orrison","year":"1986","unstructured":"Orrison WWRogde SKinard RE, et al. Clivus epidural hematoma: a case report. Neurosurgery. 1986;18(2):194-196."},{"issue":"4","key":"bib16","series-title":"J Neurosurg","first-page":"660","article-title":"Clivus epidural hematoma: case report","volume":"72","author":"Kurosu","year":"1990","unstructured":"Kurosu AAmano KKubo O, et al. Clivus epidural hematoma: case report. J Neurosurg. 1990;72(4):660-662."},{"issue":"11","key":"bib17","series-title":"J Neurotrauma","first-page":"1289","article-title":"Retroclival extradural hematoma is a magnetic resonance imaging diagnosis","volume":"18","author":"Suliman","year":"2001","unstructured":"Suliman HMMerx HLWesseling Pvan der Sluijs BVos PEThijssen HO. Retroclival extradural hematoma is a magnetic resonance imaging diagnosis. J Neurotrauma. 2001;18(11):1289-1293."},{"issue":"6","key":"bib18","series-title":"Pediatr Neurosurg","first-page":"339","article-title":"Traumatic retroclival epidural hematoma in a child","volume":"39","author":"Yang","year":"2003","unstructured":"Yang BP. Traumatic retroclival epidural hematoma in a child. Pediatr Neurosurg. 2003;39(6):339-340."},{"issue":"1","key":"bib19","series-title":"Clin Neurol Neurosurg","first-page":"67","article-title":"Retroclival epidural hematoma secondary to a longitudinal clivus fracture","volume":"108","author":"Paterakis","year":"2005","unstructured":"Paterakis KNKarantanas AHHadjigeorgiou GMAnagnostopoulos VKaravelis A. Retroclival epidural hematoma secondary to a longitudinal clivus fracture. Clin Neurol Neurosurg. 2005;108(1):67-72."},{"issue":"7","key":"bib20","series-title":"Childs Nerv Syst","first-page":"670","article-title":"Traumatic retroclival epidural hematoma\u2014a pediatric entity?","volume":"22","author":"Agrawal","year":"2006","unstructured":"Agrawal DCochrane DD. Traumatic retroclival epidural hematoma\u2014a pediatric entity? Childs Nerv Syst. 2006;22(7):670-673."},{"issue":"8","key":"bib21","series-title":"Childs Nerv Syst","first-page":"913","article-title":"Association of atlanto-occipital dislocation and retroclival haematoma in a child","volume":"23","author":"Vera","year":"2007","unstructured":"Vera MNavarro REsteban ECosta JM. Association of atlanto-occipital dislocation and retroclival haematoma in a child. Childs Nerv Syst. 2007;23(8):913-916."},{"issue":"8","key":"bib22","series-title":"Neurol Med Chir (Tokyo)","first-page":"347","article-title":"Traumatic retroclival epidural hematoma in a child\u2014case report","volume":"48","author":"Kwon","year":"2008","unstructured":"Kwon THJoy HPark YKChung HS. Traumatic retroclival epidural hematoma in a child\u2014case report. Neurol Med Chir (Tokyo). 2008;48(8):347-350."},{"issue":"11","key":"bib23","series-title":"Pediatr Emerg Care","first-page":"843","article-title":"Atlanto-occipital dislocation with retroclival hematoma in a pediatric patient presenting to the emergency department","volume":"26","author":"Diaz","year":"2010","unstructured":"Diaz RZouros AStewart GM. Atlanto-occipital dislocation with retroclival hematoma in a pediatric patient presenting to the emergency department. Pediatr Emerg Care. 2010;26(11):843-847."},{"issue":"4","key":"bib24","series-title":"Pediatr Neurosurg","first-page":"288","article-title":"Retroclival epidural hematoma in a child affected by whiplash cervical injury: a typical case of a rare condition","volume":"47","author":"Becco de Souza","year":"2011","unstructured":"Becco de Souza RBrasileiro de Aguiar GSette dos Santos MEAcioly MA. Retroclival epidural hematoma in a child affected by whiplash cervical injury: a typical case of a rare condition. Pediatr Neurosurg. 2011;47(4):288-291."},{"issue":"4","key":"bib25","series-title":"Ceylon Med J","first-page":"159","article-title":"A case of post-traumatic retroclival subdural haematoma","volume":"60","author":"Dayaratne","year":"2015","unstructured":"Dayaratne SRajapakse DJayaweera NWadanamby SRajapakse T. A case of post-traumatic retroclival subdural haematoma. Ceylon Med J. 2015;60(4):159-160."},{"issue":"8","key":"bib26","series-title":"Acta Neurochir","first-page":"1571","article-title":"Retroclival epidural haematoma: a diagnosis to suspect. Report of three cases and review of the literature","volume":"159","author":"Zabalo","year":"2017","unstructured":"Zabalo GOrtega RD\u00edaz J, et al. Retroclival epidural haematoma: a diagnosis to suspect. Report of three cases and review of the literature. Acta Neurochir. 2017;159(8):1571-1576."},{"issue":"1","key":"bib27","series-title":"J Neurol Surg Rep","first-page":"e53","article-title":"Association of atlanto-occipital dislocation, retroclival hematoma, and hydrocephalus: management and survival in a pediatric patient","volume":"78","author":"Lee","year":"2017","unstructured":"Lee ILVasquez LFTyroch AHTrier TT. Association of atlanto-occipital dislocation, retroclival hematoma, and hydrocephalus: management and survival in a pediatric patient. J Neurol Surg Rep. 2017;78(1):e53-e58."},{"issue":"10","key":"bib28","series-title":"Pediatr Emerg Care","first-page":"e184","article-title":"Traumatic retroclival epidural hematoma","volume":"35","author":"Samanci","year":"2019","unstructured":"Samanci YBaskurt ICelik SE. Traumatic retroclival epidural hematoma. Pediatr Emerg Care. 2019;35(10):e184-e187."},{"key":"bib29","series-title":"World Neurosurg","first-page":"112","article-title":"Traumatic retroclival subdural hematoma in a child with hemophilia","volume":"133","author":"Sahlu","year":"2020","unstructured":"Sahlu AGetachew KMekonnen A. Traumatic retroclival subdural hematoma in a child with hemophilia. World Neurosurg. 2020;133:112-120."},{"issue":"6","key":"bib30","series-title":"AJR Am J Roentgenol","first-page":"1641","article-title":"Pediatric retroclival epidural hematoma in the acute trauma setting: a sign of tectorial membrane stripping injury","volume":"216","author":"Fiester","year":"2021","unstructured":"Fiester PRao DAndreou SSoule EPatel J. Pediatric retroclival epidural hematoma in the acute trauma setting: a sign of tectorial membrane stripping injury. AJR Am J Roentgenol. 2021;216(6):1641-1648."},{"issue":"2","key":"bib31","series-title":"Childs Nerv Syst","first-page":"485","article-title":"Traumatic retroclival epidural hematoma associated with reversible ipsilateral internal carotid artery stenosis","volume":"38","author":"Shojima","year":"2022","unstructured":"Shojima HHayashi YTamase ATakata SIizuka H. Traumatic retroclival epidural hematoma associated with reversible ipsilateral internal carotid artery stenosis. Childs Nerv Syst. 2022;38(2):485-489."},{"issue":"11","key":"bib32","series-title":"J Neurosurg Case Lessons","first-page":"CASE21712","article-title":"Atlanto-occipital dislocation in a child: a challenging diagnosis. Illustrative case","volume":"3","author":"Garvayo","year":"2022","unstructured":"Garvayo MBelouaer ABarges-Coll J. Atlanto-occipital dislocation in a child: a challenging diagnosis. Illustrative case. J Neurosurg Case Lessons. 2022;3(11):CASE21712"},{"issue":"3","key":"bib33","series-title":"Childs Nerv Syst","first-page":"807","article-title":"Isolated pediatric retroclival epidural hematoma following a minor blunt head trauma: a case report with review of the literature","volume":"39","author":"Borni","year":"2023","unstructured":"Borni MAbdelmouleh SBounemra MBoudawara MZ. Isolated pediatric retroclival epidural hematoma following a minor blunt head trauma: a case report with review of the literature. Childs Nerv Syst. 2023;39(3):807-810."},{"issue":"4","key":"bib34","series-title":"Neurocirugia (Astur)","first-page":"337","article-title":"Abducens nerve palsy due to postraumatic retroclival and spinal subdural hematoma: case report and literature review","volume":"22","author":"Catal\u00e1-Ant\u00fanez","year":"2011","unstructured":"Catal\u00e1-Ant\u00fanez Ide Quintana-Schmidt CClavel-Laria PMontes-Graciano GMolet-Teixid\u00f3 J. Abducens nerve palsy due to postraumatic retroclival and spinal subdural hematoma: case report and literature review. Paresia VI par craneal por hematoma subdural retroclival y espinal postraumatico: presentacin de un caso y revision de la literatura. Neurocirugia (Astur). 2011;22(4):337-341."},{"key":"bib35","series-title":"J Pediatr Surg Case Rep","first-page":"102406","article-title":"Pediatric mandibular fracture with concomitant craniovertebral ligament injuries and retroclival hematoma: a rare occurrence","volume":"85","author":"Abdullah","year":"2022","unstructured":"Abdullah MFSivanganam SOmar MYusoff BM. Pediatric mandibular fracture with concomitant craniovertebral ligament injuries and retroclival hematoma: a rare occurrence. J Pediatr Surg Case Rep. 2022;85:102406."},{"issue":"3","key":"bib36","series-title":"HK J Rad","first-page":"178","article-title":"Traumatic paediatric retroclival epidural haematoma","volume":"14","author":"Al-Omari","year":"2011","unstructured":"Al-Omari MAlbtoush ORousan L. Traumatic paediatric retroclival epidural haematoma. HK J Rad. 2011;14(3):178."},{"issue":"4","key":"bib37","series-title":"Pediatr Traum Orthop Reconstr Surg","first-page":"467","article-title":"Retroclival hematoma: two case reports and a literature review","volume":"8","author":"Khodorovskaya","year":"2020","unstructured":"Khodorovskaya AMKondrashev IAMandal VLyapin AP. Retroclival hematoma: two case reports and a literature review. Pediatr Traum Orthop Reconstr Surg. 2020;8(4):467-472."},{"issue":"1","key":"bib38","series-title":"Pan Afr Med J","first-page":"329","article-title":"Traumatic retroclival","volume":"37","author":"Adekanmbi","year":"2020","unstructured":"Adekanmbi AAAdeolu AA. Traumatic retroclival subdural hematoma: case report and a review of the literature. Pan Afr Med J. 2020;37(1):329."},{"issue":"1","key":"bib39","series-title":"J Emerg Med","first-page":"67","article-title":"Isolated retrodental epidural hematoma without dens fracture","volume":"58","author":"Raffee","year":"2020","unstructured":"Raffee LAbuzayed BAl Qawasmeh MAlawneh KAbdalla KAleshawi A. Isolated retrodental epidural hematoma without dens fracture. J Emerg Med. 2020;58(1):67-71."},{"issue":"2","key":"bib40","series-title":"Can J Neurol Sci","first-page":"338","article-title":"Pediatric traumatic retroclival epidural hematoma","volume":"38","author":"McDougall","year":"2011","unstructured":"McDougall CMSankar TMehta VPugh JA. Pediatric traumatic retroclival epidural hematoma. Can J Neurol Sci. 2011;38(2):338-340."},{"issue":"1","key":"bib41","series-title":"J AAPOS","first-page":"69","article-title":"Abducens nerve palsy associated with a clival epidural hematoma","volume":"15","author":"Topcu-Yilmaz","year":"2011","unstructured":"Topcu-Yilmaz PRepka MX. Abducens nerve palsy associated with a clival epidural hematoma. J AAPOS. 2011;15(1):69-70."},{"issue":"2","key":"bib42","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. Case report","volume":"103","author":"Ahn","year":"2005","unstructured":"Ahn ESSmith ER. Acute clival and spinal subdural hematoma with spontaneous resolution: clinical and radiographic correlation in support of a proposed pathophysiological mechanism. Case report. J Neurosurg. 2005;103(2suppl):175-179."},{"issue":"4","key":"bib43","series-title":"Childs Nerv Syst","first-page":"1199","article-title":"Clival fractures in children: a challenge in the trauma room setting!","volume":"37","author":"Fromm","year":"2021","unstructured":"Fromm JMeuwly EWendling-Keim DLehner MKammer B. Clival fractures in children: a challenge in the trauma room setting! Childs Nerv Syst. 2021;37(4):1199-1208."},{"key":"bib44","series-title":"Surg Neurol Int","first-page":"107","article-title":"Basilar artery incarceration secondary to a longitudinal clivus fracture: a rare and favorable outcome of an often devastating injury","volume":"13","author":"Laing","year":"2022","unstructured":"Laing BRWHedayat HS. Basilar artery incarceration secondary to a longitudinal clivus fracture: a rare and favorable outcome of an often devastating injury. Surg Neurol Int. 2022;13:107."},{"issue":"10","key":"bib45","series-title":"Neurol Med Chir (Tokyo)","first-page":"707","article-title":"Traumatic longitudinal clival fracture in a child\u2014case report","volume":"51","author":"Ono","year":"2011","unstructured":"Ono HUchida MTanaka YTanaka KHashimoto T. Traumatic longitudinal clival fracture in a child\u2014case report. 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