Zeitschrift für Kinderchirurgie : organ der Deutschen, der Schweizerischen und der Osterreichischen Gesellschaft für Kinderchirurgie = Surgery in infancy and childhood
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The different modes of presentation of extradural haematomas in children are discussed, based on the clinical data of 13 patients (12 operated and one conservatively treated). In a 12-month-old infant, anaemia and bradycardia were the first signs of the haematoma, whereas stupor and apnoeic respiration pattern were seen in a 5-year-old boy. Both children had neither pupillary dilatation nor focal neurological signs. ⋯ In two patients who were again deteriorating after 4 and 12 days a second CT scan showed a delayed extradural haematoma. Another patient was referred on the 7th day with a posterior fossa EDH. A small epidural bleeding resolved spontaneously under conservative treatment.(ABSTRACT TRUNCATED AT 250 WORDS)