ABSTRACT
A series of 75 children with traumatic extradural haematomas operated on at our Department between 1982 and 1988 were analysed in detail. The overall mortality rate was 17%. CT scan constituted a valuable tool for an early and correct diagnosis, and the mortality rate declined to 9% in the post-CT era. The outcome was found to be predominantly affected by the preoperative neurological status, by the duration of the time interval between onset of coma and surgical intervention, and mainly by the presence of associated brain lesions.
Subject(s)
Hematoma, Epidural, Cranial/surgery , Adolescent , Cause of Death , Cerebral Angiography , Child , Child, Preschool , Female , Glasgow Coma Scale , Hematoma, Epidural, Cranial/diagnostic imaging , Hematoma, Epidural, Cranial/mortality , Humans , Infant , Male , Postoperative Complications/mortality , Tomography, X-Ray ComputedABSTRACT
Subperiosteal haematoma of the orbit following minor head trauma is extremely rare. A 5-year-old girl is presented with bilateral proptosis, chemosis, extraocular palsy, and progressive visual loss after minor head trauma. She had no evidence of fracture or abnormality of coagulation. The intraorbital haematoma resulted most probably from the oozings of a subgaleal haemorrhage which entered the subperiosteal space and then dissected over the supraorbital ridge into the orbit.
Subject(s)
Craniocerebral Trauma/complications , Hematoma/etiology , Orbital Diseases/etiology , Child, Preschool , Female , Hematoma/diagnostic imaging , Humans , Orbital Diseases/diagnostic imaging , Tomography, X-Ray ComputedABSTRACT
A rare case of multiple primary hydatid cysts of the brain is presented in a 15-year-old boy. The largest of the seven cysts located on the right hemisphere measured six cm across, while the smallest one was one cm in diameter. Detailed studies revealed no evidence of hydatid disease elsewhere in the body. The growth rate of an untreated cyst was about ten cm per year determined by follow-up computerized tomography. Since the only treatment of cerebral hydatid cysts is surgery, with removal of the cysts intact, surgical intervention should be considered in every case, even in the event of multiple recurrences.
Subject(s)
Brain Diseases/diagnostic imaging , Echinococcosis/diagnostic imaging , Adolescent , Brain Diseases/epidemiology , Brain Diseases/surgery , Echinococcosis/epidemiology , Echinococcosis/surgery , Humans , Male , Recurrence , Tomography, X-Ray Computed , Turkey/epidemiologyABSTRACT
A unique case is reported of a cervical intramedullary myxoma in an 18-month-old boy who presented with torticollis and monoparesis. Radical removal of the tumor by a planned two-stage procedure was curative.
