Epidural hematomas in the posterior cranial fossa

Tai Ngar Lui, Shih Tseng Lee, Chen Nen Chang, Wan Chung Cheng

研究成果: 雜誌貢獻文章同行評審

24 引文 斯高帕斯(Scopus)

摘要

A review of 89 cases of posterior fossa epidural hematoma (PFEDH) is presented. The mortality rate was 17.9%. In 44 cases (49.4%) there were associated intracranial hematomas. In 30 cases the hematoma was localized within the boundary of the foramen magnum and the transverse and sigmoid sinuses (“pure” PFEDH). In 59 cases the hematoma extended beyond the sinuses to the occipital area (“mixed” PFEDH). In the pure PFEDHs, the bleeder could be identified in only six cases and in five cases the source was a bleeding transverse sinus. The bleeders disclosed in the mixed PFEDHs were a torn transverse sinus in 28 cases, a meningeal artery in three cases, and a bony fracture in three cases. The possibility of a PFEDH should be kept in mind when evaluating patients who have suffered an occipital blow resulting in a frontal or temporal hematoma. In our series, patients with the pure PFEDHs with no associated intracranial hematomas had the best prognoses. Nine patients developed a PFEDH after surgery for a supratentorial hematoma. In 14 cases the PFEDH was treated at the subacute or chronic stage. All but one patient survived with a good recovery. Children generally had better prognoses.

原文英語
頁(從 - 到)211
頁數1
期刊Journal of Trauma - Injury, Infection and Critical Care
34
發行號2
出版狀態已發佈 - 1993
對外發佈Yes

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine
  • Surgery

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