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


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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  1. 1.
    Ammirati M, Tomita T (1984) Posterior fossa epidural hematoma during childhood. Neurosurgery 14:541–544Google Scholar
  2. 2.
    Baykaner K, Alp H, Ceviker N, Keskil S, Seckin Z (1988) Observation of 95 patients with extradural hematomas and review of the literature. Surg Neurol 30:339–341Google Scholar
  3. 3.
    Besson G, Leguyader J, Bagot D'arc M, Garré H (1978) L'hématome extradural de la fosse postérieure. Neurochirurgie 24:53–63Google Scholar
  4. 4.
    Choux M, Grisoli F, Peragut JC (1975) Extradural hematomas in children: 104 cases. Child's Brain 1:337–347Google Scholar
  5. 5.
    Ciurca AV, Nuteanu L, Simionescu N, Georgescu S (1993) Posterior fossa extradural hematomas in children: report of nine cases. Child's Nerv Syst 9:224–228Google Scholar
  6. 6.
    Dhellermmes P, Lejeune JP, Christiaens JL, Combelles G (1985) Traumatic extradural hematomas in infancy and childhood. J Neurosurg 62:861–864Google Scholar
  7. 7.
    Ersahin Y, Mutluer S (1993) Posterior fossa extradural hematomas in children. Pediatr Neurosurg 19:31–33Google Scholar
  8. 8.
    Ersahin Y, Mutluer S, Güzelbag E (1993) Extradural hematoma: analysis of 146 cases. Child's Nerv Syst 9:96–99Google Scholar
  9. 9.
    Garza-Mercado R (1983) Extradural hematoma of the posterior cranial fossa. Report of seven cases with survival. J Neurosurg 59:664–672Google Scholar
  10. 10.
    Hooper R (1959) Observation on extradural hemorrhage. Br J Surg 47:71–78Google Scholar
  11. 11.
    Hutchinson J (1867) Effusion of blood between bone and dura-mater. Lond Hosp Rep 4:51Google Scholar
  12. 12.
    Moura dos Santos AL, Pereira JP, Cinquini O, Bor E, Manreza LA, Marino R (1994) Extradural hematomas in children. Pediatr Neurosurg 21:50–54Google Scholar
  13. 13.
    Neubauer UJ (1987) Extradural haematoma of the posterior fossa. Twelve years of experience with CT-scan. Acta Neurochir 87:105–111Google Scholar
  14. 14.
    Pang D, Horton JA, Herron JM, Wilberger JE, Vries JK (1983) Nonsurgical management of extradural hematomas in children. J Neurosurg 59:958–971Google Scholar
  15. 15.
    Peter JC, Domingo Z (1990) Subacute traumatic extradural haematomas of the posterior fossa: a clinicopathological entity of the 5-to 10-year-old child. Child's Nerv Syst 6:135–138Google Scholar
  16. 16.
    Rivas JJ, Lobato R, Sarabia R, Cordobes F, Cabrera A, Gomez P (1988) Extradural hematoma: analysis of factors influencing the courses of 161 patients. Neurosurgery 23:44–51Google Scholar
  17. 17.
    Roda JM, Gimenez D, Perez-Higueras A, Blazquez M, Perez-Alvarez M (1983) Posterior fossa epidural hematomas: a review and synthesis. Surg Neurol 19:419–424Google Scholar
  18. 18.
    Schutzman SA, Barnes PD, Mantello M, Scott RM (1993) Epidural hematomas in children. Ann Emerg Med 22:535–541Google Scholar
  19. 19.
    Zuccarello M, Pardatscher K, Andrioli GC, Fiore DL, Iavicoli R, Cervellini P (1981) Epidural hematomas of the posterior cranial fossa. Neurosurgery 8:434–437Google Scholar

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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