Neuroimaging findings of retroclival hemorrhage in children: A diagnostic conundrum

June Koshy, Merel M. Scheurkogel, Lauren Clough, Thierry A.G.M. Huisman, Andrea Poretti, Thangamadhan Bosemani

Research output: Contribution to journalReview articlepeer-review

14 Scopus citations


Background: Retroclival hemorrhage in children may occur in three compartments, namely epidural, subdural, and subarachnoid, frequently secondary to trauma. Retroclival epidural hematoma may be associated with ligamentous injury, which may further result in instability at the craniocervical junction. Retroclival subdural hematoma may indicate a sentinel event for traumatic injury elsewhere within the brain or posterior fossa. Retroclival subarachnoid hemorrhage may have severe clinical consequences related to vasospasm. Objective: Neuroimaging is essential in the recognition, localization, and characterization of retroclival hemorrhage into various compartments and for evaluating potential severe clinical consequences such as craniocervical junction instability, underlying traumatic brain injury, and ischemia secondary to vasospasm. The goal of this paper is to discuss the anatomy and biomechanics of the craniocervical junction as well as the neuroimaging findings associated with various compartments of retroclival hemorrhage in children.

Original languageEnglish (US)
Pages (from-to)835-839
Number of pages5
JournalChild's Nervous System
Issue number5
StatePublished - May 2014
Externally publishedYes


  • CT
  • Children
  • MRI
  • Retroclival epidural hematoma
  • Retroclival subarachnoid hemorrhage
  • Retroclival subdural hematoma

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology


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