Surgical Treatment of Traumatic Posterior Fossa Epidural Hematomas in Children : Reports in 17 Cases

VernacularTitle:儿童创伤性后颅窝硬膜外血肿手术治疗17例
Author: Chaoguo YOU ; Nu ZHANG
Keywords: Epidural hematomas; Posterior fossa; Child; Traditonal craniectomy; Drilling skull plus urokinase
From: Journal of Medical Research 2017;46(4):102-105
CountryChina
Language:Chinese
Abstract: Objective To investigate the surgical indications and suigical procedures of traumatic posterior fossa epidural hematomas of 17 cases in children.Methods Clinical data of 17 children who admitted into our hospital from 2010 to 2015 with posterior fossa epidural hematomas were retrospectively reviewed.We summarized he surgical indications and operation selection of posterior fossa epidural hematomas in children.Results The suigical procedures of all patients in our group included the following:8 patients were treated with traditonal craniectomy,9 patients were treated with drilling skull plus urokinase.All patients recovered well after operation.Complications:hydrocephalus in 2 cases,epilepsy in 1 case.The outcome evaluated using the Glasgow outcome score(GOS) was good in 15 patients,mild disability in 1,severe disability in 1.Conclusion The clinical status of posterior fossa epidural hematoma can progress rapidly in children.It is crucial for early diagnosis and timely surgical intervention when it is indicated.In addition,the surgical procedures should be selected properly,the overall prognosis is excellent.