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Child's Nervous System

, Volume 12, Issue 3, pp 145–148 | Cite as

Traumatic extradural hematomas of the posterior fossa in children

  • J. M. Costa Clara
  • E. Claramunt
  • L. Ley
  • J. Lafuente
Original Paper

Abstract

The most favorable type of traumatic intracranial bleeding in childhood is the extradural hemorrage (EDH). The posterior fossa location is less frequent than the supratentorial site. In the period from January 1989 to January 1994 we treated 2,372 patients with craniocerebral trauma; 31 had extradural hematomas (1.3%); 3 of them were located in the posterior fossa (9.7%): 1 boy and 2 girls aged from 6 to 16 years. The traumatic mechanism was an occipital fall in all cases. Diagnosis was made by computed tomography scan (CT). Two of them had a rapidly deteriorating course. The three patients were operated on without mortality and there was no morbidity. The role of CT in the early detection of lesions and prompt surgical evacuation may reduce the mortality and morbidity from this lesion. The interaction between these factors is discussed.

Key words

Head trauma Epidural hematoma Posterior fossa Hematoma evacuation 

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Copyright information

© Springer-Verlag 1996

Authors and Affiliations

  • J. M. Costa Clara
    • 1
  • E. Claramunt
    • 1
  • L. Ley
    • 1
  • J. Lafuente
    • 1
  1. 1.Neurosurgery DepartmentUniversity Hospital Sant Joan de DeuBarcelonaSpain

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