Posterior fossa epidural hematoma
Papacocea, T.; Papacocea, A.; Dănăilă, L.; Papacocea, R.; Ion, D.; Bădărău, A.; Ciornei, C.; Buraga, M.
Chirurgia 106(3): 309-313
2011
ISSN/ISBN: 1221-9118 PMID: 21853737 Document Number: 653824
Posterior fossa epidural hematomas (PFEH) are rare entities, with dark prognosis due to their specific localization. Because the simptomatology is usually nonspecific or poor, the CT should be performed as soon as posible. MRI does not offer suplimentary benefits/informations in the great majority of PFEH. Depending on the bleeding source, the rate of clinical signs appearance and the gravity of evolution varies. Early diagnosis and surgical treatment should be performed in hematomas associated with mass effect or suplimentary injuries. In all cases, in PFEH patients a careful monitoring is necessary due to unpredictable evolution and rapid clinical worsening, requiring surgical intervention.