Epidural hematomas of the posterior fossa

The authors report four cases of epidural hematoma of the posterior fossa. The presenting signs and symptoms are discussed. Emphasis is placed on the need for early recognition and treatment and the fact that concomitant supratentorial lesions may be present. The radiologic findings are discussed, and special note is made of the value of computed tomographic (CT) scanning. Suboccipital craniectomy may result in complete recovery, even in moribund cases, once the lision is suspected and treated.