Abstract
A retroclival epidural hematoma (REDH) is a rare lesion that usually develops after a hyperflexion or hyperextension injury of the neck, often in a child. We describe the case of a 3-year-old boy fell from a swing who presented with a Glasgow Coma Scale score of 14 and neck pain. Neuroimaging identified a REDH. The child was treated conservatively and showed good outcome. This patient's mechanism of injury (MOI) was not significant (fall off a swing), although most of the reported cases were high energy accidents such as motor vehicle accidents. We consider the epidemiologic features (age and the MOI) of REDH are more various than previously thought. Physicians should think of REDH when the MOI is related to hyperflexion or hyperextension injury of the neck, regardless of the severity of MOI and age of the patient.
