Traumatic acute subdural haematomas of the posterior fossa: clinicoradiological analysis of 24 patients

We report 24 patients with a traumatic acute subdural haematoma of the posterior fossa managed between 1997 and 1999 at 8 Italian neurosurgical centres. Each centre provided data about patients' clinico-radiological findings, management, and outcomes, which were retrospectively reviewed. A poor...

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Veröffentlicht in:	Acta neurochirurgica 2003-12, Vol.145 (12), p.1037-1044
Hauptverfasser:	d'Avella, D, Servadei, F, Scerrati, M, Tomei, G, Brambilla, G, Massaro, F, Stefini, R, Cristofori, L, Conti, A, Cardali, S, Tomasello, F
Format:	Artikel
Sprache:	eng
Schlagworte:	Adolescent Adult Aged Brain Injuries - diagnosis Brain Injuries - surgery Child Cranial Fossa, Posterior - pathology Cranial Fossa, Posterior - surgery Craniotomy Female Glasgow Coma Scale Glasgow Outcome Scale Head injuries Hematoma, Subdural, Acute - diagnosis Hematoma, Subdural, Acute - surgery Humans Magnetic Resonance Imaging Male Middle Aged Multivariate analysis Pneumoencephalography Postoperative Complications - diagnosis Prognosis Retrospective Studies Tomography, X-Ray Computed Ventriculostomy
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Zusammenfassung:	We report 24 patients with a traumatic acute subdural haematoma of the posterior fossa managed between 1997 and 1999 at 8 Italian neurosurgical centres. Each centre provided data about patients' clinico-radiological findings, management, and outcomes, which were retrospectively reviewed. A poor result occurred in 14 patients (58.3%). Ten patients (41.7%) had favourable results. Patients were divided into two groups according to their admission Glasgow Coma Scale (GCS) scores. In Group 1 (12/24 cases; GCS score, > or =8), the outcome was favourable in 75% of cases. In Group 2 (12/12 cases; GCS score,
ISSN:	0001-6268 0942-0940
DOI:	10.1007/s00701-003-0150-y