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CC BY 4.0 · Indian Journal of Neurotrauma
DOI: 10.1055/s-0044-1787116
Case Report

Traumatic Delayed Posterior Cranial Fossa Epidural Hematoma: A Rare Entity

Abdur Rehman Baig
1   Punjab Institute of Neurosciences, Lahore, Pakistan
,
Ahtesham Khizar 
1   Punjab Institute of Neurosciences, Lahore, Pakistan
,
Maryem Tanweer
1   Punjab Institute of Neurosciences, Lahore, Pakistan
,
Farooq Anwar
2   Mayo Cancer Care Hospital, Lahore, Pakistan
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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 injury

Patient 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
    PubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 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
    Article in Thieme ConnectPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 7 Takeuchi S, Wada K, Takasato Y. et al. Traumatic hematoma of the posterior fossa. Acta Neurochir Suppl (Wien) 2013; 118: 135-138
    CrossrefPubMedGoogle Scholar
  • 8 Balik V, Lehto H, Hoza D, Sulla I, Hernesniemi J. Posterior fossa extradural haematomas. Cent Eur Neurosurg 2010; 71 (04) 167-172
    Article in Thieme ConnectPubMedGoogle Scholar