Treatment of posterior fossa epidural hematomas in children by drilling skull: reports in 12 cases

Abstract

Objective To introduce the diagnosis and treatment of posterior fossa epidural hematomas of 12 cases in children.Methods 12 children who admitted into Tianjin Huanhu Hospital from 2008 to 2012 with posterior fossa epidural hematomas were evaluated.Through continuous review of head CT,epidural hematoma was found that manifested as isodense or mixed density in early period,and all patients were treated with cranial -pricking,hematoma aspiration without drainage tube.Results All patients recoverd well,there was no delayed hematoma,no serious complications and death.Condusion The early clinical symptoms of posterior cranial fossa epidural hematoma is mild and not specific,but enlarge of the hematoma is a serious threat to life,so consequent review of head CT is necessary.The hematoma is often liquid in early stage,and the method of cranial - pricking can be used.But the timing of surgery,surgical indications and contraindications should be strictly controlled. Key words: Epidural hematoma; Posterior fossa; Child; Cranial - pricking