J Korean Neurotraumatol Soc.  2005 Oct;1(1):94-97. 10.13004/jknts.2005.1.1.94.

Posterior Fossa Extradural Hematoma in Children

• Park H
• Lee CH
• Kang DH
• Hwang SH
• Park IS
• Jung JM

• KMID: 2192317
• DOI: http://doi.org/10.13004/jknts.2005.1.1.94

Abstract

OBJECTIVE
The aim of this study is to investigate the interactions between prognostic factors and functional outcome of patients managed posterior fossa epidural hematomas (PFEDH) in childhood. MATERIAL AND METHODS: Between 2002 and 2004, fourteen patients were treated for the PFEDH. The medical records and radiologic findings of the patients were reviewed retrospectively. Information on potential prognostic factors was collected and compared with literatures.
RESULTS
Initial Glasgow Coma Scale scores of thirteen patients were 15 and 14 in one case. Occipital skull fractures were found in seven cases (50%). The degree of compression of the fourth ventricle and quadrigeminal cistern measured on computed tomography scan. Five cases showed mild compression and nine cases showed normal. Thirteen patients were managed by conservative manner, however, three cases were operated. All patients experienced good outcomes (Glasgow Outcome Scale scores of 5).
CONCLUSION
When occipital trauma and/or fracture is diagnosed, CT should be always performed. The suspicion of a slower course of the posterior fossa epidural hematoma or a delayed hematoma should be kept in mind when dealing with an occipital trauma or fracture, even after initial negative CT was confirmed shortly after the trauma.

Keyword

Epidural; Hematoma; Posterior fossa; Computed tomography

MeSH Terms

Child*
Craniocerebral Trauma
Fourth Ventricle
Glasgow Coma Scale
Hematoma*
Humans
Medical Records
Retrospective Studies
Skull Fractures