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.

scholarly journals Systemic Amyloidosis: Clinical Manifestations and Diagnosis

2020 ◽  
Vol 16 (24) ◽  
pp. 68-76
Author(s):  
N.V. Bakulina ◽  
◽  
A.S. Nekrasova ◽  
A.Ya. Gudkova ◽  
E.L. Latariya ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Clinical Course ◽  
Correct Diagnosis ◽  
Clinical Manifestations ◽  
Pathological Process ◽  
Systemic Amyloidosis ◽  
Early Stages ◽  
Current State ◽  
Late Initiation

This review is devoted to the current state of the problem of diagnosis of systemic amyloidosis at the outpatient stage and in a multidisciplinary hospital. The article summarizes the existing information about the variants of the clinical course and provides current methods of verification of this disease. In systemic amyloidosis, the involvement of different systems and organs in the pathological process, the variety of clinical manifestations and nonspecific complaints of the patient in the early stages of this disease often lead to untimely establishment of the correct diagnosis and late initiation of treatment, worsening the prognosis and posing a significant threat to the life of the patient. Early diagnosis of systemic amyloidosis allows the patient to start treatment on time and increases the chances of success

Traumatic Epidural Hematoma of the Posterior Cranial Fossa

2012 ◽  
Vol 8 (2) ◽  
pp. 99
Author(s):  
Jungin Han ◽  
Tack-Geun Cho ◽  
Jae Gon Moon ◽  
Ho Kook Lee ◽  
Chang Hyun Kim
Keyword(s):  
Epidural Hematoma ◽  
Posterior Cranial Fossa ◽  
Cranial Fossa

Epidural Hematomas of the Posterior Cranial Fossa

Neurosurgery ◽  
1981 ◽  
Vol 8 (4) ◽  
pp. 434-437 ◽  
Author(s):  
M. Zuccarello ◽  
K. Pardatscher ◽  
G. C. Andrioli ◽  
D. L. Fiore ◽  
R. Iavicoli ◽  
...  
Keyword(s):  
Epidural Hematoma ◽  
Mortality Rates ◽  
Posterior Cranial Fossa ◽  
Morbidity And Mortality ◽  
Definite Diagnosis ◽  
Computed Tomographic ◽  
Neurological Signs ◽  
Cranial Fossa

Abstract We report eight cases of epidural hematoma of the posterior cranial fossa. The main symptoms and neurological signs are reviewed. The value of computed tomographic scanning in determining a definite diagnosis and in improving the morbidity and mortality rates of such a lesion is emphasized.

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.

scholarly journals CLINICAL CASE OF MENTAL DISORDERS IN THE DEBUTOF MULTIPLE SCLEROSIS

2017 ◽  
Vol 9 (3) ◽  
pp. 114-120
Author(s):  
S N Zhulev ◽  
A A Toropova ◽  
O N Nemykin ◽  
M V Fomintseva ◽  
Yu O Garyshina ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Mental Disorders ◽  
Early Diagnosis ◽  
Clinical Case ◽  
Clinical Course ◽  
Clinical Manifestations ◽  
Neurologic Deficit ◽  
Appropriate Treatment ◽  
Observation Period

In a course of multiple sclerosis neurologic deficit could be overshadowed by psychotic signs such as catatonia, depression and dementia. Thus, ignoring these clinical manifestations can pre- vent early diagnosis of multiple sclerosis. Subsequently, an appropriate treatment will be delayed. In our article we report a case of multiple sclerisos in patient presented initially with catatonia, depression and dementia. Psychiatric, neurological, MRI picture and treatment impact thoroughly throughout the whole observation period are described. This case illustrates that catatonia can be dominating feature in the clinical course of multiple sclerosis and can overshadow other neurologic signs.

scholarly journals Comorbidities in chronic «overcrowded posterior cranial fossa» syndrome

2013 ◽  
Vol 94 (2) ◽  
pp. 221-227
Author(s):  
A T Zabbarova ◽  
E I Bogdanov ◽  
D K Khusainova ◽  
L S Fatkheeva
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
General Population ◽  
Inflammatory Diseases ◽  
Clinical Manifestations ◽  
Clinical History ◽  
Gastrointestinal Diseases ◽  
Posterior Cranial Fossa ◽  
Cranial Fossa

Aim. To analyze the prevalence and role of comorbidities in variety of clinical manifestations in patients with congenital occipital hypoplasia - «overcroded posterior cranial fossa» syndrome. Methods. Clinical history and physical examination of 200 patients (aged 16-74 years, males 108, females 92) with «overcrowded posterior cranial fossa» syndrome, including 134 with cerebellar ectopia, 92 with syringomyelia, 24 with hydrocephalus, were analyzed. Results. The diseases identified in patients with «overcrowded posterior cranial fossa» syndrome were combined into six groups: cardiovascular diseases (n=120; 60.0%), infectious and inflammatory diseases (n=39; 19.5%), gastrointestinal diseases (n=37; 18.5%), metabolic and endocrine diseases (n=31; 15.5%), diseases of the musculoskeletal system and connective tissue (including cervical vertebral stenosis (n=53; 26.5%), scoliosis (n=50; 25.0%), arthropathies (n=21; 10.5%), other diseases and pathological conditions (including mild traumatic brain injury (n=74; 37.0%), seizures (n=13; 6.5%). In patients with «overcrowded posterior cranial fossa» syndrome the prevalence of cardiovascular, gastrointestinal diseases, traumatic brain injury, obesity, primary or secondary cervical vertebral stenosis was significantly higher (p 0.05) compared to general population. In patients with syringomyelia a higher rate (p0.05) of scoliosis and traumatic brain injury was revealed. Conclusion. The prevalence of comorbidities in patients with «overcrowded posterior cranial fossa» syndrome was higher compared to general population. The differences of the type and rate of the concomitant diseases in patients with various forms of the syndrome may contribute to the variety of clinical manifestations of «overcrowded posterior cranial fossa» syndrome.

scholarly journals THE CLINIC, THE MAIN METHODS OF THE DIAGNOSTICS AND TREATMENT OF EPIDURAL HEMATOMA

2020 ◽  
Vol 22 (1) ◽  
pp. 141-147
Author(s):  
Bekhruz Rakhmonov ◽  
◽  
Rustam Berdiev ◽  
Keyword(s):  
Epidural Hematoma ◽  
Conservative Therapy ◽  
Survey Methods ◽  
Posterior Cranial Fossa ◽  
Cerebral Injury ◽  
Diagnosis And Treatment ◽  
Frequency Of Occurrence ◽  
Modern Methods ◽  
Cranial Fossa

The review provides data on modern methods of diagnosis and treatment of epidural hematoma (EH). Data are given, such as the frequency of occurrence of this pathology, its structure, and the specifics of diagnosis and treatment with the determination of indications for the use of surgery interventions or use of conservative therapy. It should be emphasized that the frequency of EH occurrence remains high. Mortality, according to various authors, is from 7.5% to 29.4%. The fatality for EH of the posterior cranial fossa is particularly high, reaching 31.5%, and with concomitant intracranial damage it is 84%. Additional research methods, such as CT, MRI, echoencephalography, craniography and cerebral angiography, have a great importance in the diagnosis of this pathology. At the same time, there are different opinions of the authors about the informativeness of the above-mentioned survey methods. Analyzing the literature on the treatment of EH, the authors identified differences in tactics in the periods before the introduction and after the widespread use of CT in the practice of neurosurgical institutions. The results of surgical treatment of EH, still, do not satisfy clinicians. Keywords: Epidural hematoma, diagnosis, treatment, cerebral injury.

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