Guevara-Dondé J E, Ondarza-Rovira R, Santillán-Gómez M C, Nathal E
Departamento de Neurocirugía, Hospital de Traumatología Magdalena de las Salinas, México, D.F.
Bol Med Hosp Infant Mex. 1990 Sep;47(9):645-9.
Reported are 15 cases of children who suffered injuries to their posterior fossa and the subsequent formation of hematomas and their treatment by the physicians in the Neurosurgical Department of the Traumatology Hospital "Magdalena de las Salinas". Of the 15 cases, 11 had epidural hematomas (three of them with supratentorial extensions), one was subdural, two were cerebellar and another of the brainstem. Seven were considered acute, five were subacute and three were chronic. During their admittance to the hospital, five of the patients were in a state of coma, another five were sleepy or confused and the remaining five were conscious. Three of the patients were conservatively treated, two of which had sequelae or were moderately handicapped. Twelve of the patients were surgically intervened suboccipitally, eleven of which successfully recovered and one of which died. A history of brain injury, occipital fracture and signs of posterior fossa lesions lead to suspect the presence of posterior fossa hematoma.
报告了15例儿童后颅窝受伤并随后形成血肿的病例，以及“马格达莱纳·德拉斯萨利纳斯”创伤医院神经外科医生对其的治疗情况。在这15例病例中，11例为硬膜外血肿（其中3例伴有幕上扩展），1例为硬膜下血肿，2例为小脑血肿，另1例为脑干血肿。7例为急性，5例为亚急性，3例为慢性。入院时，5例患者处于昏迷状态，另外5例嗜睡或神志不清，其余5例神志清醒。3例患者接受保守治疗，其中2例有后遗症或中度残疾。12例患者接受了枕下手术干预，其中11例成功康复，1例死亡。脑损伤史、枕骨骨折和后颅窝病变体征提示可能存在后颅窝血肿。
