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DOI: 10.1055/s-0044-1787116
Traumatic Delayed Posterior Cranial Fossa Epidural Hematoma: A Rare Entity
Authors
Abstract
Posterior fossa epidural hematomas (EDHs) are much rarer entities than supratentorial EDHs which are reported only 4 to 7% in the literature. Due to the tight space and critical structures in posterior fossa, only a few cases can go with the conservative management but even then patients can deteriorate anytime with enlargement of hematoma and compression effects on brain stem and require urgent evacuation. This letter aims to provide a case of a young kid who presented initially with less-volume EDH and later required urgent evacuation because of hematoma expansion.
Keywords
cranial epidural hematoma - craniocerebral trauma - craniotomy - posterior cranial fossa - traumatic brain injuryPatients' Consent
Consent was obtained from the father of the child for publication of this case and the accompanying images.
Publication History
Article published online:
04 June 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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References
- 1 Kaushal Y, Govind LK, Gaurav J, Kumar GT, Bipinbhai PP, Suresh K. Posterior fossa extradural hematoma - clinical presentation and outcome: a single centre experience from India. Rom Neurosurg 2022; 36: 181-185
- 2 Chaoguo Y, Xiu L, Liuxun H, Hansong S, Nu Z. Traumatic posterior fossa epidural hematomas in children: experience with 48 cases and a review of the literature. J Korean Neurosurg Soc 2019; 62 (02) 225-231
- 3 Sharafat S, Azam F, Khan Z. Posterior fossa epidural hematoma: a 6-year management experience. Pak J Med Sci 2023; 39 (01) 253-256
- 4 Verma SK, Borkar SA, Singh PK. et al. Traumatic posterior fossa extradural hematoma: experience at level i trauma center. Asian J Neurosurg 2018; 13 (02) 227-232
- 5 Lee S, Park SK, Joo BE, Lee JA, Kong DS, Park K. The pathogenesis of delayed epidural hematoma after posterior fossa surgery. J Clin Neurosci 2018; 47: 223-227
- 6 Nasi D, Iaccarino C, Romano A. et al. Surgical management of traumatic supra and infratentorial extradural hematomas: our experience and systematic literature review. Neurosurg Rev 2020; 43 (03) 893-901
- 7 Takeuchi S, Wada K, Takasato Y. et al. Traumatic hematoma of the posterior fossa. Acta Neurochir Suppl (Wien) 2013; 118: 135-138
- 8 Balik V, Lehto H, Hoza D, Sulla I, Hernesniemi J. Posterior fossa extradural haematomas. Cent Eur Neurosurg 2010; 71 (04) 167-172