Traumatic posterior fossa extradural hematoma: case report and review of literature

Songara, Abhishek; Patil, Harshad; Nayaran, Sharadendu

doi:10.18203/2349-2902.isj20160261

Cited by 3 publications

(4 citation statements)

References 6 publications

(10 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although surgical evacuation is the gold standard of traditional treatment, it is practiced only if the hematoma is large and causes mass effect. 2,20 In our study, almost 71.2% of the patients were treated surgically, and the outcome was good in 82.69% of the cases. A similar study reported a slightly higher recovery rate (89.8%) than that reported in the present study.…”

Section: Discussionmentioning

confidence: 55%

Posterior fossa epidural hematoma: A 6-year management experience

2022

View full text Add to dashboard Cite

Objective: Through this study, we sought to evaluate the management of posterior fossa extradural hematoma (PFEDH). Methods: An observational study was conducted at the Neurosurgery Department of Lady Reading Hospital in Peshawar from January 2015 to December 2020. All patients who had a traumatic acute extradural hematoma (EDH) of the posterior fossa were included, irrespective of age and gender. The clinical predictors and outcomes were assessed, including the CT-scan findings and Glasgow Coma Scale (GCS) score. Results: A total of 104 cases with posterior fossa extradural hematoma were identified from 1252 extradural hematoma patients admitted during the study period. The mean age of the enrolled patients was 18.17 ± 14.31 years. Most of the patients were male (65.39%) and belonged to the pediatric age group, i.e., < 15 years (60.6%). CT scan brain was done in all the cases for diagnosis. In 68.3% of cases, an associated occipital bone fracture was observed. Surgery was done in almost 71.2% of cases, and most of the patients experienced good recovery after surgery, as indicated by the GOS score. Linear regression model revealed that treatment (β=-0.20, p=0.038), time duration between surgery and trauma (β=0.43, p=0.000) and GCS category (β=-0.47, p=0.000) were significantly associated with PFEDH outcomes. Conclusion: In conclusion, PFEDH was frequent among males and the pediatric age group. Serial CT brain is highly recommended in all suspected cases for early diagnosis. doi: https://doi.org/10.12669/pjms.39.1.6408 How to cite this: Sharafat S, Azam F, Khan Z. Posterior fossa epidural hematoma: A 6-year management experience. Pak J Med Sci. 2023;39(1):---------. doi: https://doi.org/10.12669/pjms.39.1.6408 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

show abstract

Section: Discussionmentioning

confidence: 55%

Posterior fossa epidural hematoma: A 6-year management experience

2022

View full text Add to dashboard Cite

show abstract

“…The development of late and chronic clinical pictures is possible, nonetheless, if the venous structures are affected. Posterior fossa EDH has a venous origin in 85 % of cases and is caused by damage to the transverse or sigmoid sinuses secondary to occipital bone fracture [8] , [15] , [16] . There is no agreement on the specific time-based definition of CEDH, unlike subdural hematoma, which is referred as chronic subdural hematoma if discovered after more than 21 days following injury.…”

Section: Discussionmentioning

confidence: 99%

“…Some CEDHs are discovered by chance, while others are found when persistent and/or progressive symptoms such as headache, dizziness, nausea, vomiting, memory loss, limb weakness, and alteration of consciousness are investigated [5] , [8] , [15] . The earlier surgical evacuation of symptomatic CEDH is performed, the better the results.…”

Section: Discussionmentioning

confidence: 99%

The uncommon delayed neurological deficit in posterior fossa chronic epidural hematoma: A case report

Permana

Meizikri

Apriawan

et al. 2022

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

“…This may be in the form of suboccipital craniectomy or craniotomy depending on the size of the hematoma. [ 12 ] In our series, one case was done with suboccipital craniectomy and two cases underwent craniotomy.…”

Section: Discussionmentioning

confidence: 99%

Traumatic supra- and infra-tentorial extradural hematoma: Case series and literature review

2018

View full text Add to dashboard Cite

Traumatic supra- and infra-tentorial extradural hematoma (TSIEDH) is a rare lesion constituting <2% of all extradural hematomas. There are only a few published articles about TSIEDH. This study included three patients with TSIEDH who were treated and operated at Dr. Soetomo General Hospital, Surabaya, Indonesia, from August 2015 to July 2016. Two patients sustained injuries in traffic accidents and one patient was injured by fall. The male to female ratio was 1:2. Glasgow Coma Scale (GCS) score ≤8 was present in one and GCS score of 9–12 was present in two patients. The brain computed tomography scan verified linear fracture of occipital bone in one and linear fracture of occipital bone with lambdoid suture separation in two patients. Early diagnosis and early surgical intervention of TSIEDH are imperative because the deterioration of TSIEDH is sudden and quick. We presented our experience in treating patients with TSIEDH in Dr. Soetomo General Hospital, Surabaya, Indonesia.

show abstract

Traumatic posterior fossa extradural hematoma: case report and review of literature

Cited by 3 publications

References 6 publications

Posterior fossa epidural hematoma: A 6-year management experience

Posterior fossa epidural hematoma: A 6-year management experience

The uncommon delayed neurological deficit in posterior fossa chronic epidural hematoma: A case report

Traumatic supra- and infra-tentorial extradural hematoma: Case series and literature review

Contact Info

Product

Resources

About