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Use of a Wireless Video-EEG System to Monitor Epileptiform Discharges Following Lateral Fluid-Percussion Induced Traumatic Brain Injury
09:16

Use of a Wireless Video-EEG System to Monitor Epileptiform Discharges Following Lateral Fluid-Percussion Induced Traumatic Brain Injury

Published on: June 21, 2019

Delayed traumatic epidural hematoma of the posterior fossa

Sayed A Abdul-Azeim1, Orighoye P Binitie

  • 1Department of Neurosurgery, Assir Central Hospital, Abha, Kingdom of Saudi Arabia.

Neurosciences (Riyadh, Saudi Arabia)
|August 28, 2013
PubMed

Insights

Prompt diagnosis of traumatic posterior fossa hematoma using computerized tomography (CT) enables timely surgery, improving patient survival. This case series highlights successful outcomes in two pediatric patients following prompt surgical intervention guided by CT scans.

Area of Science:

  • Neurosurgery
  • Pediatric Neurology
  • Radiology

Background:

  • Traumatic posterior fossa hematomas can lead to severe neurological deficits.
  • Early detection and surgical intervention are critical for improving outcomes.

Purpose of the Study:

  • To present the clinical course and successful surgical management of two children with traumatic posterior fossa epidural hematoma.
  • To emphasize the role of prompt computerized tomography (CT) in the early localization and management of these injuries.

Main Methods:

  • Case report of two pediatric patients with traumatic posterior fossa epidural hematoma.
  • Utilized serial computerized tomography (CT) scans for diagnosis and localization.
  • Performed timely surgical evacuation of the hematoma.

Main Results:

  • Both patients underwent successful surgical intervention.
  • Early CT identified a hematoma in one patient on day 3, leading to timely surgery.
  • The second patient, despite a delayed presentation, had a good outcome due to preserved consciousness and prompt surgery.

Conclusions:

  • Prompt computerized tomography (CT) is essential for the early localization of traumatic posterior fossa hematomas.
  • Timely surgical intervention, guided by CT findings, significantly improves survival and neurological outcomes in pediatric patients.
  • Consciousness level is a critical prognostic factor in managing these injuries.

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