Acta Neurochirurgica

, Volume 87, Issue 3–4, pp 105–111 | Cite as

Extradural haematoma of the posterior fossa. Twelve years experiences with CT-scan

  • U. J. Neubauer


18 cases of an extradural haematoma of the posterior fossa (EDHPF) are presented and the clinical and radiological findings are demonstrated. The onset of symptoms was acute in 10 patients and subacute in the other 8 patients. The overall mortality was 22%, but only acute course patients died (40%). All subacute cases survived. The most important factors influencing mortality were the level of consciousness immediately before the operation and the presence of hydrocephalus prior to surgery. Other coexisting intracranial lesions had no influence on mortality but on the quality of survival. Compared with the literature there is a certain decrease in mortality in the subacute course patients since the introduction of computed tomography.


Extradural haematoma posterior fossa computed tomography head injury 


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  1. 1.
    Ammirati M (1984) Posterior fossa extradural hematoma during childhood. Neurosurgery 14: 541–54PubMedGoogle Scholar
  2. 2.
    Arkins TJet al (1977) Acute posterior fossa epidural hematomas in children. Am J Dis Child 131: 610–612Google Scholar
  3. 3.
    Besson D,et al (1978) L'hematome extradural de la fosse posterieure Problemes diagnostiques. Neurochirurgie 24: 63–73PubMedGoogle Scholar
  4. 4.
    Brambilla G, Rainoldi F, Gipponi D, Paoletti P (1986) Extradural haematoma of the Posterior fossa: A report of eight cases and review of the literature. Acta Neurochir (Wien) 80: 24–29Google Scholar
  5. 5.
    Cordobes F,et al (1981) Observations on 82 patients with extradural hematoma. J Neurosurgery 54: 179–186Google Scholar
  6. 6.
    Cordobes F,et al (1980) Epidural hematoma of the posterior fossa with delayed operation. Acta Neurochir (Wien) 53: 275–281Google Scholar
  7. 7.
    van Dongen K, Braakman R (1981) CT in head injury. In: Krayenbühl H, Maspes PE, Sweet WH (eds). Prog Neurol Surg, Vol 10, pp 198–251Google Scholar
  8. 8.
    Dublin A, French B, Rennick J (1977) Computed tomography in head trauma. Comp Tom 365–369Google Scholar
  9. 9.
    Fankhauser H, Kiener M (1982) Delayed development of extradural hematoma. Acta Neurochir (Wien) 60: 29–35Google Scholar
  10. 10.
    French B, Dublin A (1977) The value of computerized tomography in the management of 1000 consecutive head injuries. Surg Neurol 7: 171–183PubMedGoogle Scholar
  11. 11.
    Garza-Mercado R (1983) Extradural hematoma of the posterior cranial fossa. J Neurosurg 59: 664–672PubMedGoogle Scholar
  12. 12.
    Grumme Th, Lanksch W (1978) Die radiologische Diagnostik von SHT. In: Sager W, Ladurner G (eds) Computertomographie. Thieme, Stuttgart, pp 24–32Google Scholar
  13. 13.
    Guiterrez F, McLone D, Raimondi A (1981) Epidural hematomas in infancy and childhood. In: Epstein F, Hoffmann H, Raimondi A (eds). Concepts in pediatric NS I: 188–201Google Scholar
  14. 14.
    Heiskanen O (1975) Extradural hematoma. Surg Neurol 4: 23–26PubMedGoogle Scholar
  15. 15.
    Heiss E (1981) Zweizeitige epidurale Haematome. Neurochirurgia 24: 199–201PubMedGoogle Scholar
  16. 16.
    Hooper R (1954) Extradural hemorrhages of posterior fossa. Br J Surg 42: 19–26PubMedGoogle Scholar
  17. 17.
    Hooper R (1959) Observations on extradural haemorrhage. Br J Surg 47: 71–87PubMedGoogle Scholar
  18. 18.
    Ikeda Y (1981) Traumatic posterior fossa extradural hematoma esp. the value of CT-scan. No Shinkei Geka 9: 401–406PubMedGoogle Scholar
  19. 19.
    Jamieson K, Yelland J (1968) Extradural hematoma. J Neurosurg 36: 13–23Google Scholar
  20. 20.
    Jennet B (1981) Severity of brain damage. In: Krayenbühl H, Maspes P, Sweet W (eds). Prog Neurol Surg, Vol 10, pp 164–197Google Scholar
  21. 21.
    Jennet B, Snoek J, Bond M, Brooks N (1981) Disability after severe head injury. Observations on the use of the Glasgow outcome scale. J Neurol Neurosurg Psychiatry 44: 285–293Google Scholar
  22. 22.
    Kosary IZ,et al (1966) Acute extradural hematoma of the posterior fossa. J Neurosurg 24: 1007–1012PubMedGoogle Scholar
  23. 23.
    McKenzie G (1938) Extradural hemorrhage. Br J Surg 26: 346–365Google Scholar
  24. 24.
    Parkinson D, Hunt B, Schields C (1971) Double lucid intervall in patients with extradural hematoma of the posterior fossa. J Neurosurg 34: 534–536PubMedGoogle Scholar
  25. 25.
    Reigh EE (1962) Extradural hematoma of the posterior fossa with concomitant supratentorial subdural hematoma. J Neurosurg 19: 359–364PubMedGoogle Scholar
  26. 26.
    Roda J, Gimenez D, Higueras A, Blazques M, Alvarez M (1983) Posterior fossa epidural hematomas. Surg Neurol 19: 419–424PubMedGoogle Scholar
  27. 27.
    Schiefer W (1964) Erkennung und Behandlung der epiduralen HÄmatome in der hinteren SchÄdelgrube. Beitr Neurochir 8: 139–143PubMedGoogle Scholar
  28. 28.
    Scoville W, Leventhal H, Polcyn J (1961) Traumatic hematomas of posterior fossa. Neurochirurgia 4: 113–119Google Scholar
  29. 29.
    Steimle R (1971) Hematome extra-dural de la fosse posterieure. Acta Neurochir (Wien) 23: 55–62Google Scholar
  30. 30.
    Stone J, Schaffer L, Ramsey R, Moody R (1979) Epidural hematomas of the posterior fossa. Surg Neurol 11: 419–424PubMedGoogle Scholar
  31. 31.
    Teasdale G (1981) Acute traumatic intracranial hematomas. In: Krayenbühl H, Maspes P, Sweet W (eds), Prog Neurol Surg, Vol 10, pp 252–290Google Scholar
  32. 32.
    Tsai Y, Teal J, Itabashi H, Huprich J, Hieshima G, Segall H (1980) Computertomogram of posterior fossa trauma. J Comput Assist Tomogr 4: 291–305PubMedGoogle Scholar
  33. 33.
    Zucarello U, Pardatscher K, Andrioli G, Fiore D, Avicoli R, Cerbellini P (1981) Extradural hematoma of the posterior cranial fossa. Neurosurg 8: 434–437Google Scholar

Copyright information

© Springer-Verlag 1987

Authors and Affiliations

  • U. J. Neubauer
    • 1
  1. 1.Neurochirurgische Klinik der Universität Erlangen-NürnbergGermany

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