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Acute Posterior Fossa Epidural Hematomas in Children

Acute Posterior Fossa Epidural Hematomas in Children Abstract • Epidural hematoma in the posterior fossa is a rare clinical entity requiring immediate surgical intervention to prevent rapid and fatal deterioration. This diagnosis should be considered in children with occipital head trauma who have altered sensorium and evidence of compression of structures within the posterior fossa. Such a clinical setting demands close neurologic observation in a facility where contrast studies and neurosurgical intervention are available. The absence of an occipital skull fracture or the presence of normal pulse rate and blood pressure should not influence the decision. Lumbar puncture is absolutely contraindicated. (Am J Dis Child 131:690-692, 1977) References 1. Weinman D, Muttucumaru B: Traumatic haematoma of the posterior cranial fossa . Ceylon Med J 15:25-30, 1970. 2. Harwood-Nash DC, Hendrick EB, Hudson AR: The significance of skull fractures in children . Radiology 101:151-155, 1971. 3. Hooper RS: Extradural hemorrhages of the posterior fossa . Br J Surg 42:19-25, 1954.Crossref 4. Lemmen LL, Schneider RC: Extradural hematomas of the posterior fossa . J Neurosurg 9:245-253, 1952.Crossref 5. Wright RL: Traumatic hematomas of the posterior cranial fossa . J Neurosurg 25:402-409, 1966.Crossref 6. Parkinson D, Hunt B, Shields C: Double lucid interval in patients with extradural hematoma of the posterior fossa . J Neurosurg 34:534-536, 1971.Crossref 7. Plum F, Posner JB: Diagnosis of Stupor and Coma . Philadelphia, FA Davis Co, 1966. 8. Jamieson KG: Angiographic demonstration of the bleeding point in a posterior fossa extradural hematoma: Case report . J Neurosurg 36:644-645, 1972.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1977 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1977.02120190084019
Publisher site
See Article on Publisher Site

Abstract

Abstract • Epidural hematoma in the posterior fossa is a rare clinical entity requiring immediate surgical intervention to prevent rapid and fatal deterioration. This diagnosis should be considered in children with occipital head trauma who have altered sensorium and evidence of compression of structures within the posterior fossa. Such a clinical setting demands close neurologic observation in a facility where contrast studies and neurosurgical intervention are available. The absence of an occipital skull fracture or the presence of normal pulse rate and blood pressure should not influence the decision. Lumbar puncture is absolutely contraindicated. (Am J Dis Child 131:690-692, 1977) References 1. Weinman D, Muttucumaru B: Traumatic haematoma of the posterior cranial fossa . Ceylon Med J 15:25-30, 1970. 2. Harwood-Nash DC, Hendrick EB, Hudson AR: The significance of skull fractures in children . Radiology 101:151-155, 1971. 3. Hooper RS: Extradural hemorrhages of the posterior fossa . Br J Surg 42:19-25, 1954.Crossref 4. Lemmen LL, Schneider RC: Extradural hematomas of the posterior fossa . J Neurosurg 9:245-253, 1952.Crossref 5. Wright RL: Traumatic hematomas of the posterior cranial fossa . J Neurosurg 25:402-409, 1966.Crossref 6. Parkinson D, Hunt B, Shields C: Double lucid interval in patients with extradural hematoma of the posterior fossa . J Neurosurg 34:534-536, 1971.Crossref 7. Plum F, Posner JB: Diagnosis of Stupor and Coma . Philadelphia, FA Davis Co, 1966. 8. Jamieson KG: Angiographic demonstration of the bleeding point in a posterior fossa extradural hematoma: Case report . J Neurosurg 36:644-645, 1972.Crossref

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Jun 1, 1977

References