Acute Extradural Hematoma of the Posterior Fossa

Kosary, I. Z.; Goldhammer, Y.; Lerner, M. A.

doi:10.3171/jns.1966.24.6.1007

Cited by 38 publications

(14 citation statements)

References 19 publications

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“…The acute course showed a combination of occipital trauma (100 %), deteriorating level of consciousness (100 % ), respiratory disturbances as the first sign of the onset of medullary failure (100%) and in 40% a third nerve palsy with mydriasis 26, 28, 3o, 31 A lucid interval was seen in 50% of our acute cases compared to a rate of 30-40% in the literature 19,22,25,28. A double lucid interval as seen by Parkinson 24 was not found in any of our cases.…”

Section: Discussionmentioning

confidence: 73%

Extradural haematoma of the posterior fossa. Twelve years experiences with CT-scan

Neubauer

1987

Acta neurochir

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18 cases of an extradural haematoma of the posterior fossa (EDHPF) are presented and the clinical and radiological findings are demonstrated. The onset of symptoms was acute in 10 patients and subacute in the other 8 patients. The overall mortality was 22%, but only acute course patients died (40%). All subacute cases survived. The most important factors influencing mortality were the level of consciousness immediately before the operation and the presence of hydrocephalus prior to surgery. Other coexisting intracranial lesions had no influence on mortality but on the quality of survival. Compared with the literature there is a certain decrease in mortality in the subacute course patients since the introduction of computed tomography.

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Section: Discussionmentioning

confidence: 73%

Extradural haematoma of the posterior fossa. Twelve years experiences with CT-scan

Neubauer

1987

Acta neurochir

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“…Extradural hematomas are the most common trau matic space-occupying lesions in the posterior fossa [5,6], PFEHs constitute 3.4-15% of all extradural hematomas [I, [12][13][14][15][16][17], We have operated on 9 PFEH cases (6%) of 146 patients with extradural hematomas in the past 13 years. PFEHs seem to affect children more than adults [8,10].…”

Section: Discussionmentioning

confidence: 99%

Posterior Fossa Extradural Hematomas in Children

Erşahin¹,

Mutluer²

1993

Pediatr Neurosurg

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Posterior fossa extradural hematomas (PFEHs) are less frequent than supra-tentorial extradural hematomas. 9 children operated on for PFEH are reported. There were 5 boys and 4 girls aged from 1 to 16 years. The mode of injury was fall in 6 and traffic accident in 3 cases. Diagnosis of PFEH was made by computed tomography (CT) scanning in 8 cases. In 1 patient, who deteriorated suddenly, respiratory arrest developed before surgery, and the patient died in spite of evacuation of the hematoma. CT scanning enables early diagnosis and reveals the associated supratentorial lesions. Prompt surgical evacuation of PFEHs is the treatment of choice.

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“…There are no symptoms and signs specific to epidural hematomas of the posterior fossa in children. Occasionally symptoms and signs suggesting supratentorial hematomas, such as anisocoria, pyramidal tract signs, etc., may be predominant [7]. This had made diagnosis of epidural hematomas in the posterior fossa difficult before CT scans were introduced.…”

Section: Onset O F Symptoms and Signsmentioning

confidence: 99%

“…Most infratentorial extracerebeilar hematomas are caused by a strong impact to the head [7]. However, epidural hematomas of the posterior fossa may develop without skull fracture following minor trauma [2, 5, 6.…”

Section: Severity O F Traumamentioning

confidence: 99%

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Epidural Hematomas of the Posterior Fossa in Children

Mori¹,

Handa²,

Munemitsu³

et al. 1983

Pediatr Neurosurg

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The authors report 3 cases of epidural hematoma of the posterior fossa in children. The clinical signs and symptoms are discussed. Onset of symptoms is not necessarily acute. The radiological findings are discussed. Epidural hematoms of the posterior fossa in children have a tendency to liquefy earlier than supratentorial hematomas. We emphasize the value of computed tomography for the diagonosis of epidural hematoma of the posterior fossa. One should keep in mind the possibility of the presence of an epidural hematoma of the posterior fossa in the treatement of head injury in children, even in the case of a minor head injury.

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Acute Extradural Hematoma of the Posterior Fossa

Abstract: aneurysm was apparently obliterated, in eight it was consid¬ erably reduced in size, and in two it remained unchanged. Brachial

Cited by 38 publications

References 19 publications

Extradural haematoma of the posterior fossa. Twelve years experiences with CT-scan

Extradural haematoma of the posterior fossa. Twelve years experiences with CT-scan

Posterior Fossa Extradural Hematomas in Children

Epidural Hematomas of the Posterior Fossa in Children

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