Delayed traumatic epidural hematoma of the posterior fossa

Abstract

The prompt use of computerized tomography has significantly enhanced the early localization of traumatic posterior fossa hematoma of the brain. Consequently, timely surgical intervention has been possible before irreversible damage has set in. The result is an overall improvement in the survival of patients with this condition. The clinical presentations of 2 children who developed traumatic posterior fossa epidural hematoma after a fall and were successfully operated upon, are presented. Computerized tomography scan of the brain of the first child was carried out on the day of admission and did not show any hematoma. The emergency computerized tomography scan of the brain that was carried out on the 3rd day when the patient became unresponsive localized the left epidural hematoma. Even though the 2nd patient was brought for treatment a week after the fall, his level of consciousness was good, an indication of the greatest prognostic factor, which with timely initiation of surgical intervention ensured a good outcome.