EPIDURAL HEMATOMA OF THE CLIVUS - CASE-REPORT

This 8-year-old boy presented with a rare case of epidural hematoma of the clivus and atlantoaxial dislocation caused by a hyperflexion inju ry sustained in a traffic accident. Magnetic resonance (MR) imaging de monstrated an epidural hematoma in the posterior fossa that compressed the pens and medulla. On admission, the patient was confused and had bilateral abducens palsy. He was treated conservatively, and 6 months after admission, the epidural hematoma on the clivus had disappeared o n MR imaging and the bilateral abducens palsy was cured. Only two such cases have been reported in the literature. In this report, the autho rs discuss the mechanism of hematoma formation in this region of the b rain.