Tumour bleed manifesting as spontaneous extradural haematoma in posterior fossa

Mahore, Amit; Ramdasi, Raghvendra; Pauranik, Anvita; Shridhar, Epari

doi:10.1136/bcr-2014-205175

Cited by 3 publications

(12 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In general, PFEDH occurs infrequently [1,2,13,14,15,16,17]. Moreover, non-traumatic PFEDH is extremely unusual, with only a few reports published in the literature [18,19,20,21,22,23,24,25].…”

Section: Posterior Fossa Extradural Hematoma (Pfedh)mentioning

confidence: 99%

“…Inherited or acquired coagulopathy is usually present in spontaneous central nervous system (CNS) bleeding episodes [26,27,28]. Other systemic pathologies, such as neoplasms, can also be observed [2,[20][21][22]. Table 1 presents the literature studies that report cases of pediatric patients with spontaneous PFEDH and associated conditions that facilitated bleeding.…”

Section: Posterior Fossa Extradural Hematoma (Pfedh)mentioning

confidence: 99%

“…In the majority of the reported cases, headache, nausea and vomiting were present initially, followed by altered sensorium and drowsiness [18,19,[22][23][24][25]. Nuchal rigidity, hemiparesis, incoordination, pupil alteration, bradycardia and deep coma have also been described [18,20,22,23].…”

Section: Clinical Presentationmentioning

confidence: 99%

“…Considering the cited cases in this study, a CT scan was the first choice in all cases [18,19,[22][23][24][25]. A MRI scan was added in a challenging case [22].…”

Section: Diagnosismentioning

confidence: 99%

See 3 more Smart Citations

Non-traumatic epidural posterior fossa hematomas in child with Sensenbrenner syndrome: a case report and literature review

Guimarães¹,

Cardeal²,

Lúcio³

et al. 2021

Arch Pediat Neurosurg

View full text Add to dashboard Cite

Background: Posterior fossa extradural hematomas are an uncommon condition with more than half of cases appearing in the pediatric population. Although the majority of cases are caused by substantial trauma, it may also be related to systemic diseases and bleeding disorders without the history of head trauma. Case report: We present the case of a 6-year-old female affected by Sensenbrenner syndrome with a non-traumatic subacute posterior fossa epidural hematoma. The patient was surgically treated and medically discharged without further neurological alteration. This is the first report of spontaneous cerebral hematoma associated with this syndrome in the literature. A literature review of the main aspects of both topics was performed. Conclusions: Although spontaneous posterior fossa epidural hematomas are rare, clinicians should be aware and highly suspicious of this differential diagnosis in certain situations such as coagulopathies and other specific systemic diseases, as fast recognition and assertive treatment are important for better outcomes.

show abstract

Section: Posterior Fossa Extradural Hematoma (Pfedh)mentioning

confidence: 99%

Section: Posterior Fossa Extradural Hematoma (Pfedh)mentioning

confidence: 99%

Section: Clinical Presentationmentioning

confidence: 99%

“…Considering the cited cases in this study, a CT scan was the first choice in all cases [18,19,[22][23][24][25]. A MRI scan was added in a challenging case [22].…”

Section: Diagnosismentioning

confidence: 99%

See 2 more Smart Citations

Non-traumatic epidural posterior fossa hematomas in child with Sensenbrenner syndrome: a case report and literature review

Guimarães¹,

Cardeal²,

Lúcio³

et al. 2021

Arch Pediat Neurosurg

View full text Add to dashboard Cite

show abstract

“…[ 8 ] Children have the dura and venous sinuses as opposed to the bones, and bleeding from the venous sinus leads to progressive stripping of the dura from the bone and an expanding PFEDH. Rarely PFEDH is seen in association with other bleeding diathesis,[ 9 10 11 12 ] systemic illness,[ 13 ] after cardiac surgery,[ 14 ] and malignancies such as angiosarcoma,[ 15 ] presenting either spontaneously or after a fall.…”

Section: E Tiopathogenesismentioning

confidence: 99%

Posterior fossa acute extradural hematoma in children: Review and management guidelines

Kaushik¹,

Chatterjee²

2018

J Pediatr Neurosci

View full text Add to dashboard Cite

show abstract

Nontraumatic Intracranial Epidural Hematoma: Systematic Review of the Literature

Junior

Medeiros

Pereira³

2022

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

View full text Add to dashboard Cite

Introduction Epidural hematoma (EDH) is generally a direct sequela of head injury. Spontaneous EDH is rarely described in the literature. Spontaneous EDH can be caused by infections of adjacent regions, vascular malformations of the dura mater, metastases to the bone skull, and disorders of blood coagulation. The preferred treatment is surgical. The prognosis is directly related to the size, location, and Glasgow Coma Scale score on admission and the underlying disease. Methods A systematic literature review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. We performed the search in the PubMed/MEDLINE, Embase, and Scopus databases. Abstracts and articles were screened according to our inclusion and exclusion criteria. Results The literature review yielded 1,156 records from the databases, of which a total of 164 full-text articles were included in the final synthesis, plus 22 additional relevant studies. A total of 89 case report studies were included, providing 95 unique patients. There was a predominance of coagulopathies as the main etiology of spontaneous EDH. A total of 45.3% of the patients presented lesions in > 1 brain lobe. The frontal lobe was the most prevalent location of EDH. The most used neuroimaging exam was computed tomography (CT). Surgical intervention was the most common treatment performed. A total of 24.2% of the patients died. Conclusion Nontraumatic EDH represents an uncommon manifestation of several pathologies. Clinical investigation should be aware of such a possibility. Healthcare professionals should value the physical examination and clinical history of the patient. Given the scarcity of information on the pathogenesis of spontaneous EDH, further studies are needed to better define intervention strategies and therapies for these patients.

show abstract

Tumour bleed manifesting as spontaneous extradural haematoma in posterior fossa

Cited by 3 publications

References 13 publications

Non-traumatic epidural posterior fossa hematomas in child with Sensenbrenner syndrome: a case report and literature review

Non-traumatic epidural posterior fossa hematomas in child with Sensenbrenner syndrome: a case report and literature review

Posterior fossa acute extradural hematoma in children: Review and management guidelines

Nontraumatic Intracranial Epidural Hematoma: Systematic Review of the Literature

Contact Info

Product

Resources

About