Clinical presentation and management of unilateral acute and chronic epidural, hematomas of posterior fossa

ABSTRACT

Posterior Fossa epidural hematomas [PFEDHs] was detect in 14 patients secondary to the head injury in the period from Jan. 1999 to Feb 2001 - the goal of this study was to analyze the differences in preoperative clinical presentation and management between a group of acute [8 patients] and a group of chronic [6 patients] of epidural hematomas of posterior fossa. In this study [chronic epidural hematomas was defined as a delay of more than 72 hours from the accident to surgery]. All patients were admitted to neurosurgery departments of Al Azhar university hospitals. C.T brain scan without contrast and with bone window was used as a tool for diagnosis, followed by surgical evacuation of the hematoma for all patients. The outcome and good recovery was obtained in 13 patients but only one patient died