• Neurosurg Focus · Feb 2004

    Review

    Epidural hematomas of the posterior cranial fossa.

    • Edson Bor-Seng-Shu, Paulo Henrique Aguiar, Ricardo Jose de Almeida Leme, Mauricio Mandel, AndradeAlmir Ferreira deAF, and Raul Marino.
    • Division of Neurosurgery, Hospital das Clinicas, Sao Paulo University Medical School, Sao Paulo, Brazil.
    • Neurosurg Focus. 2004 Feb 15; 16 (2): ECP1.

    ObjectThe authors present their experience in the management of posterior fossa epidural hematoma (PFEDH), which involved an aggressive diagnostic approach with the extensive use of head computerized tomography (CT) scanning.MethodsThe authors treated 43 cases of PFEDH in one of the largest health centers in Brazil. Diagnosis was established in all patients with the aid of CT scanning because the clinical manifestations were frequently nonspecific. Cases were stratified by clinical course, Glasgow Coma Scale score, and their radiological status. Based on clinical and radiological parameters the patients underwent surgical or conservative management.ConclusionsCompared with outcomes reported in the available literature, good outcome was found in this series. This is primarily due to the broad use of CT scanning for diagnostic and observational purposes, which, in the authors' opinion, led to early diagnosis and prompt treatment.

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