scholarly journals Epidural hematomas of posterior fossa

2004 ◽  
Vol 61 (2) ◽  
pp. 133-136
Author(s):  
Danilo Radulovic ◽  
Goran Tasic ◽  
Milos Jokovic
Keyword(s):  
Early Diagnosis ◽  
Posterior Fossa ◽  
Epidural Hematoma ◽  
Clinical Course ◽  
Early Recognition ◽  
Occipital Bone ◽  
Computer Assisted ◽  
Neurologic Recovery ◽  
Computer Assisted Tomography ◽  
Injured Patients

Background. Posterior fossa epidural hematomas represent 7-14% of all traumatic intracranial epidural hematomas. They are most frequently encountered posttraumatic mass lesions in the posterior fossa. The aim of this study was to identify clinical features that could lead to the early diagnosis of posterior fossa epidural hematoma. Methods. Between 1980 and 2002, 28 patients with epidural hematoma of the posterior fossa were operated on at the Institute for Neurosurgery, Belgrade. Clinical course neuroradiological investigations, and the results of surgical treatment of the patients with posterior fossa epidural hematomas were analyzed retrospectively. Results. Almost two thirds of patients were younger than 16 years of age. In 20 cases injury was caused by a fall, in 6 cases by a traffic accident, and in 2 by the assault. Clinical course was subacute or chronic in two thirds of the patients. On the admission Glasgow Coma Scale was 7 or less in 9 injured, 8-14 in 14 injured, and 15 in 5 injured patients. Linear fracture of the occipital bone was radiographically evident in 19 patients, but was intraoperatively encountered in all the patients except for a 4-year old child. In 25 patients the diagnosis was established by computer assisted tomography (CAT) and in 3 by vertebral angiography. All the patients were operated on via suboccipital craniotomy. Four injured patients who were preoperatively comatose were with lethal outcome. Postoperatively, 24 patients were with sufficient neurologic recovery. Conclusion. Posterior fossa epidural hematoma should be suspected in cases of occipital injury, consciousness disturbances, and occipital bone fracture. In such cases urgent CAT-scan is recommended. Early recognition early diagnosis, and prompt treatment are crucial for good neurological recovery after surgery.

Evaluation of Posterior Fossa Lesions by Computer Assisted Tomography (CAT)

1977 ◽  
Vol 70 (7) ◽  
pp. 793-800
Author(s):  
THOMAS LOTT ◽  
TAHER EL GAMMAL ◽  
ILDEMARO VOLCAN
Keyword(s):  
Posterior Fossa ◽  
Computer Assisted ◽  
Computer Assisted Tomography

scholarly journals Epidural hematomas of the posterior cranial fossa

2004 ◽  
Vol 16 (2) ◽  
pp. 1-4 ◽  
Author(s):  
Edson Bor-Seng-Shu ◽  
Paulo Henrique Aguiar ◽  
Ricardo Jose de Almeida Leme ◽  
Mauricio Mandel ◽  
Almir Ferreira de Andrade ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Glasgow Coma Scale ◽  
Epidural Hematoma ◽  
Clinical Course ◽  
Clinical Manifestations ◽  
Ct Scanning ◽  
Posterior Cranial Fossa ◽  
Health Centers ◽  
Prompt Treatment ◽  
Cranial Fossa

Object The authors present their experience in the management of posterior fossa epidural hematoma (PFEDH), which involved an aggressive diagnostic approach with the extensive use of head computerized tomography (CT) scanning. Methods The authors treated 43 cases of PFEDH in one of the largest health centers in Brazil. Diagnosis was established in all patients with the aid of CT scanning because the clinical manifestations were frequently nonspecific. Cases were stratified by clinical course, Glasgow Coma Scale score, and their radiological status. Based on clinical and radiological parameters the patients underwent surgical or conservative management. Conclusions Compared with outcomes reported in the available literature, good outcome was found in this series. This is primarily due to the broad use of CT scanning for diagnostic and observational purposes, which, in the authors' opinion, led to early diagnosis and prompt treatment.

Traumatic posterior fossa epidural hematoma in patient with mega cisterna magna

2020 ◽  
pp. 1
Author(s):  
Nasim Gul ◽  
Ruba Almazyad ◽  
Hajaj Alhomaidan ◽  
Nora Alsedrani ◽  
Sultan Alreshood
Keyword(s):  
Posterior Fossa ◽  
Epidural Hematoma ◽  
Cisterna Magna

Laryngeal cancer

2021 ◽  
pp. 175573802110105
Author(s):  
Kelvin Miu
Keyword(s):  
Head And Neck Cancer ◽  
Early Diagnosis ◽  
Head And Neck ◽  
Patient Outcomes ◽  
Laryngeal Cancer ◽  
Neck Cancer ◽  
Early Recognition ◽  
Signs And Symptoms ◽  
Diagnosis And Treatment

Laryngeal cancer is a common head and neck cancer and typically presents with voice hoarseness in patients older than 60 years. Early recognition of signs and symptoms of laryngeal cancer can lead to early diagnosis and treatment, therefore improving patient outcomes. This article aims to provide an overview of the anatomy of the larynx, presentation and management of laryngeal cancer, and common follow-up problems.

Computer Assisted Tomography in 90 Cases of Exophthalmos

1977 ◽  
Vol 1 (1) ◽  
pp. 81-100 ◽  
Author(s):  
Ugo Salvolini ◽  
Francesco Menichelli ◽  
Ugo Pasquini
Keyword(s):  
Computer Assisted ◽  
Computer Assisted Tomography

PAEDIATRIC POSTERIOR FOSSA TUMORS : AN EPIDEMIOLOGICAL AND ANALYTICAL STUDY AT TERTIARY CARE CENTRE IN EASTERN INDIA

2021 ◽  
pp. 54-56
Author(s):  
S. I. Sadique ◽  
Md. Shahid Alam ◽  
S. Chatterjee ◽  
S. Ghosh
Keyword(s):  
Early Diagnosis ◽  
Posterior Fossa ◽  
Tertiary Care ◽  
Male Dominance ◽  
Morbidity And Mortality ◽  
Posterior Fossa Tumors ◽  
Tertiary Care Centre ◽  
Therapeutic Modalities ◽  
Common Location ◽  
Group 5

Introduction: Posterior fossa is the commonest site of primary intracranial tumors in children, accounting for 45-60% of 1 all pediatric tumors . The aims and objectives of the study is to analyse the incidence, clinical features, surgical outcome and complications in paediatric patients with posterior fossa tumor. Material and Methods: The present study is a non-randomized prospective observational study, conducted in the department of neurosurgery, Bangur Institute of Neurosciences (B.I.N), IPGME & R, Kolkata from January 2019 to December 2020. Sample size is 50. Observations & Results: Out of 480 cases of total CNS tumors who presented in the study period, 96 cases(20%) were of paediatric posterior fossa tumors. Male dominance was seen i.e. 32 cases(64%). Most of them were in the age group 5-12 years i.e. 30 cases(60%). Headache and vomiting was the most common presenting complain present in 41 cases(82%). Fourth Ventricle was the most common location, 30 cases(60%) with Medulloblastoma being the most common tumor, 24 cases(48%). Brainstem involvement was seen in 22 cases(44%). Post-op hydrocephalus and cerebellar mutism were seen in 6 cases(12%) each. Overall mortality was 8%(4 cases). Conclusion: Posterior fossa tumors are critical brain lesions with signicant neurological morbidity and mortality. Early diagnosis of posterior fossa tumors is vital to prevent potential risks of Brain stem compression, herniation, hydrocephalus and death. With rapid advancement in radiology and the advent of modern therapeutic modalities, early diagnosis and treatment reduced the morbidity and mortality rate and improved prognosis among the patients.

HEARING LOSS IN RETINITIS PIGMENTOSA

PEDIATRICS ◽  
1967 ◽  
Vol 40 (5) ◽  
pp. 875-880
Author(s):  
Richard L. Goode ◽  
F. Mark Rafaty ◽  
F. Blair Simmons
Keyword(s):  
Hearing Loss ◽  
Early Diagnosis ◽  
Retinitis Pigmentosa ◽  
Clinical Course ◽  
Family Members ◽  
Onset Age ◽  
Hearing Tests ◽  
Historical Information ◽  
Hearing Defect ◽  
Visual Abnormalities

The clinical course of hearing loss associated with retinitis pigmentosa is outlined in four brief case summaries. This incidence of hearing loss in retinitis pigmentosa is 10% and occurs several years before clinical visual abnormalities. A battery of audiometric tests all suggest that the hearing defect is within the cochlea and that it is not rapidly progressive. Onset age has not been established. The employment of more than routine hearing tests, testing of other family members, electroretinograms, and historical information about certain features of familial vision are useful in establishing early diagnosis.

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