Pediatric Posterior Fossa Epidural Hematomas
Öz
Aim: Posterior fossa epidural hematoma (PFEDH) in the pediatric age group is a very rare condition and the treatment method is still a matter of debate. The aim of this study is to evaluate the observation results in the management of pediatric patients with PFEDH in our tertiary care hospital and to investigate the importance of the relationship of the hematoma with the cerebral venous sinuses, which has not been investigated before in the literature, in the treatment decision.
Materials and Methods: This is a retrospective study conducted at Selcuk University, Faculty of Medicine. All patients (≤ 17 years) diagnosed with PFEDH between January 2010 and May 2022 were included in this study. Demographic data, clinical signs, trauma type and symptoms at presentation, CT findings, type of treatment, and outcomes were collected. CT findings including hematoma thickness, hydrocephalus, presence of fourth ventricular compression, relation with cerebral venous sinuses and other associated brain injuries were evaluated.
Results: The patient group consists of two girl and six boy. The most common cause of PFEDH was a fall from a height resulting in a blow to the back of the head in four patients. Vomiting was the most frequent presenting symptom. Four patients had a relation between cerebral venous sinuses and hematoma, and two of these patients underwent surgical treatment
Conclusion: In addition to criteria such as hematoma thickness, GCS, hydrocephalus, and compression of the fourth ventricle, we determined that the relationship of hematoma with venous sinuses is a criterion to be evaluated.
Anahtar Kelimeler
Kaynakça
- 1. Sencer A, Aras Y, AkcAkAyA MO, et al. Posterior fossa epidural hematomas in children: clinical experience with 40 cases. Journal of Neurosurgery: Pediatrics. 2012;9:139-43.
- 2. Jamous MA, Samara QA, Jbarah OF, Ahmed YB. Management of traumatic posterior fossa epidural hematomas in pediatrics: our experience and review of the literature. Child's Nervous System. 2021;37:2839-46.
- 3. Balik V, Lehto H, Hoza D, Sulla I, Hernesniemi J. Posterior fossa extradural haematomas. Central European Neurosurgery-Zentralblatt für Neurochirurgie. 2010;71:167-72.
- 4. Ciurea A, Nuteanu L, Simionescu N, Georgescu S. Posterior fossa extradural hematomas in children: report of nine cases. Child's Nervous System. 1993;9:224-8.
- 5. Mohanty A, Kolluri VS, Subbakrishna D, et al. Prognosis of extradural haematomas in children. Pediatric neurosurgery. 1995;23:57-63.
- 6. Bozbuğa M, İzgi N, Polat G, Gürel I. Posterior fossa epidural hematomas: observations on a series of 73 cases. Neurosurgical review. 1999;22:34-40.
- 7. Dirim BV, Örük C, Erdogan N, Gelal F, Uluç E. Traumatic posterior fossa hematomas. Diagnostic and Interventional Radiology. 2005;11:14.
- 8. Prasad GL, Gupta DK, Sharma BS, Mahapatra AK. Traumatic pediatric posterior fossa extradural hematomas: a tertiary-care trauma center experience from India. Pediatric neurosurgery. 2015;50:250-6.
- 9. Berker M, Cataltepe O, Özcan O. Traumatic epidural haematoma of the posterior fossa in childhood: 16 new cases and a review of the literature. British journal of neurosurgery. 2003;17:226-9.
- 10. Gupta P, Mahapatra A, Lad S. Posterior fossa extradural hematoma. The Indian Journal of Pediatrics. 2002;69:489-94.