Traumatic Posterior Fossa Epidural Hematomas in Children : Experience with 48 Cases and a Review of the Literature

You, Chaoguo; Long, Xiu; Hu, Liuxun; Sheng, Hansong; Zhang, Nu

추천

검색

자료유형: 학술저널

저자정보: You, Chaoguo (Department of Neurosurgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University) Long, Xiu (Department of Neurosurgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University) Hu, Liuxun (Department of Neurosurgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University) Sheng, Hansong (Department of Neurosurgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University) Zhang, Nu (Department of Neurosurgery, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University)

저널정보: 대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제62권 제2호

발행연도: 2019.1

수록면: 225 - 231 (7page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Objective : Epidural haematoma (EDH) most commonly occurs in the supratentorial area, particularly in the temporal region, of the brain. Posterior fossa epidural haematoma (PFEDH) is less frequently observed, accounting for only 1.2% to 12.9% of all EDH cases. Because of the non-specific symptoms and the potential for rapid and fatal deterioration in children, an early computed tomography (CT) scanning is necessary for all suspicious cases. The aim of the present study was to share the experience of 48 cases and review the literature concerning PFEDH. Methods : A retrospective analysis was conducted for 48 paediatric cases diagnosed with PFEDH and admitted to Yuying Children's Hospital of Wenzhou Medical University from January 2010 to August 2015. The clinical features and outcomes were analyzed and compared with previous literature. Results : Seventeen patients were surgically treated in this series and 31 patients received non-operative treatment. The outcomes were good in 46 patients, evaluated using the Glasgow outcome score (GOS), while mild disability was observed in one patient, and only one case showed severe disability. There were no cases of mortality in this series. Conclusion : Posterior fossa epidural haematoma is relatively rare compared with supratentorial epidural haematoma. Early and serial CT scans should be performed for all suspicious cases. The criteria for the surgical treatment of paediatric patients with PFEDH were concluded. The overall prognosis was excellent in paediatric patients.

#Cranial fossa #Posterior #Hematoma #Epidural #Traumatic #Child

참고문헌 (25)

참고문헌 신청

Ammirati M / 1984 / Posterior fossa epidural hematoma during childhood / Neurosurgery 14:541~544

Berker M / 2003 / Traumatic epidural haematoma of the posterior fossa in childhood: 16 new cases and a review of the literature / Br J Neurosurg 17:226~229

Bor-Seng-Shu E / 2004 / Epidural hematomas of the posterior cranial fossa / Neurosurg Focus 16:ECP1

Bozbuğa M / 1999 / Posterior fossa epidural hematomas:observations on a series of 73 cases / Neurosurg Rev 22:34~40

Bullock MR / 2006 / Surgical management of posterior fossa mass lesions / Neurosurgery 58:S47~S55

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!