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 |
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| container_title | Acta neurochirurgica |
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| creator | d'Avella, D Servadei, F Scerrati, M Tomei, G Brambilla, G Massaro, F Stefini, R Cristofori, L Conti, A Cardali, S Tomasello, F |
| description | 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, |
| doi_str_mv | 10.1007/s00701-003-0150-y |
| format | Article |
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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, <8), the outcome was poor in 91.6% of cases. Nineteen patients underwent posterior fossa surgery. Factors correlating to outcome were GCS score, status of the basal cisterns and the fourth ventricle, and the presence of supratentorial hydrocephalus. Multivariate analysis showed significant independent prognostic effect only for GCS score (P<0.05).
acute posterior fossa subdural haematomas can be divided into two distinct groups: those patients admitted in a comatose state and those with a moderate/mild head injury on admission. Comatose patients present usually with signs of posterior fossa mass effect and have a high percentage of bad outcomes. On the contrary, patients admitted with a GCS of 8 or higher are expected to recover. In these patients the thickness of the haematoma (<1 cm) seems to be a guide to indicate surgical evacuation of the haematoma.</description><identifier>ISSN: 0001-6268</identifier><identifier>EISSN: 0942-0940</identifier><identifier>DOI: 10.1007/s00701-003-0150-y</identifier><identifier>PMID: 14663560</identifier><language>eng</language><publisher>Austria: Springer Nature B.V</publisher><subject>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</subject><ispartof>Acta neurochirurgica, 2003-12, Vol.145 (12), p.1037-1044</ispartof><rights>Springer-Verlag/Wien 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c422t-4e85c1a478edf0fb5d7c454055c3cc58687af0dcf2f592727a21dadab242aa393</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14663560$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>d'Avella, D</creatorcontrib><creatorcontrib>Servadei, F</creatorcontrib><creatorcontrib>Scerrati, M</creatorcontrib><creatorcontrib>Tomei, G</creatorcontrib><creatorcontrib>Brambilla, G</creatorcontrib><creatorcontrib>Massaro, F</creatorcontrib><creatorcontrib>Stefini, R</creatorcontrib><creatorcontrib>Cristofori, L</creatorcontrib><creatorcontrib>Conti, A</creatorcontrib><creatorcontrib>Cardali, S</creatorcontrib><creatorcontrib>Tomasello, F</creatorcontrib><title>Traumatic acute subdural haematomas of the posterior fossa: clinicoradiological analysis of 24 patients</title><title>Acta neurochirurgica</title><addtitle>Acta Neurochir (Wien)</addtitle><description>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, <8), the outcome was poor in 91.6% of cases. Nineteen patients underwent posterior fossa surgery. Factors correlating to outcome were GCS score, status of the basal cisterns and the fourth ventricle, and the presence of supratentorial hydrocephalus. Multivariate analysis showed significant independent prognostic effect only for GCS score (P<0.05).
acute posterior fossa subdural haematomas can be divided into two distinct groups: those patients admitted in a comatose state and those with a moderate/mild head injury on admission. Comatose patients present usually with signs of posterior fossa mass effect and have a high percentage of bad outcomes. On the contrary, patients admitted with a GCS of 8 or higher are expected to recover. In these patients the thickness of the haematoma (<1 cm) seems to be a guide to indicate surgical evacuation of the haematoma.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Brain Injuries - diagnosis</subject><subject>Brain Injuries - surgery</subject><subject>Child</subject><subject>Cranial Fossa, Posterior - pathology</subject><subject>Cranial Fossa, Posterior - surgery</subject><subject>Craniotomy</subject><subject>Female</subject><subject>Glasgow Coma Scale</subject><subject>Glasgow Outcome Scale</subject><subject>Head injuries</subject><subject>Hematoma, Subdural, Acute - diagnosis</subject><subject>Hematoma, Subdural, Acute - surgery</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate analysis</subject><subject>Pneumoencephalography</subject><subject>Postoperative Complications - diagnosis</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Tomography, X-Ray Computed</subject><subject>Ventriculostomy</subject><issn>0001-6268</issn><issn>0942-0940</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kTlPAzEQhS0EIuH4ATTIooBqYXztbugQ4pIi0YTamnjtYLQbB3u3yL_HOSQkCpoZe_y9J3keIRcMbhlAdZdyAVYAiAKYgmJ9QMYwkbzIBQ7zGfJryct6RE5S-so3XklxTEZMlqVQJYzJYhZx6LD3hqIZekvTMG-GiC39RJvnocNEg6P9p6WrkHobfYjUhZTwnprWL70JERsf2rDwJstwie06-a2IS7rK1nbZpzNy5LBN9nzfT8nH89Ps8bWYvr-8PT5MCyM57wtpa2UYyqq2jQM3V01lpJKglBHGqLqsK3TQGMedmvCKV8hZgw3OueSIYiJOyc3OdxXD92BTrzufjG1bXNowJF0pqZRQIDJ5_T_JpKw5gwxe_QG_whDzNzduKi9ebiG2g0zMu4nW6VX0Hca1ZqA3YeldWDqHpTdh6XXWXO6Nh3lnm1_FPh3xA9LTkIc</recordid><startdate>20031201</startdate><enddate>20031201</enddate><creator>d'Avella, D</creator><creator>Servadei, F</creator><creator>Scerrati, M</creator><creator>Tomei, G</creator><creator>Brambilla, G</creator><creator>Massaro, F</creator><creator>Stefini, R</creator><creator>Cristofori, L</creator><creator>Conti, A</creator><creator>Cardali, S</creator><creator>Tomasello, F</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20031201</creationdate><title>Traumatic acute subdural haematomas of the posterior fossa: clinicoradiological analysis of 24 patients</title><author>d'Avella, D ; Servadei, F ; Scerrati, M ; Tomei, G ; Brambilla, G ; Massaro, F ; Stefini, R ; Cristofori, L ; Conti, A ; Cardali, S ; Tomasello, F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c422t-4e85c1a478edf0fb5d7c454055c3cc58687af0dcf2f592727a21dadab242aa393</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Brain Injuries - diagnosis</topic><topic>Brain Injuries - surgery</topic><topic>Child</topic><topic>Cranial Fossa, Posterior - pathology</topic><topic>Cranial Fossa, Posterior - surgery</topic><topic>Craniotomy</topic><topic>Female</topic><topic>Glasgow Coma Scale</topic><topic>Glasgow Outcome Scale</topic><topic>Head injuries</topic><topic>Hematoma, Subdural, Acute - diagnosis</topic><topic>Hematoma, Subdural, Acute - surgery</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate analysis</topic><topic>Pneumoencephalography</topic><topic>Postoperative Complications - diagnosis</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Tomography, X-Ray Computed</topic><topic>Ventriculostomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>d'Avella, D</creatorcontrib><creatorcontrib>Servadei, F</creatorcontrib><creatorcontrib>Scerrati, M</creatorcontrib><creatorcontrib>Tomei, G</creatorcontrib><creatorcontrib>Brambilla, G</creatorcontrib><creatorcontrib>Massaro, F</creatorcontrib><creatorcontrib>Stefini, R</creatorcontrib><creatorcontrib>Cristofori, L</creatorcontrib><creatorcontrib>Conti, A</creatorcontrib><creatorcontrib>Cardali, S</creatorcontrib><creatorcontrib>Tomasello, F</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Acta neurochirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>d'Avella, D</au><au>Servadei, F</au><au>Scerrati, M</au><au>Tomei, G</au><au>Brambilla, G</au><au>Massaro, F</au><au>Stefini, R</au><au>Cristofori, L</au><au>Conti, A</au><au>Cardali, S</au><au>Tomasello, F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Traumatic acute subdural haematomas of the posterior fossa: clinicoradiological analysis of 24 patients</atitle><jtitle>Acta neurochirurgica</jtitle><addtitle>Acta Neurochir (Wien)</addtitle><date>2003-12-01</date><risdate>2003</risdate><volume>145</volume><issue>12</issue><spage>1037</spage><epage>1044</epage><pages>1037-1044</pages><issn>0001-6268</issn><eissn>0942-0940</eissn><abstract>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, <8), the outcome was poor in 91.6% of cases. Nineteen patients underwent posterior fossa surgery. Factors correlating to outcome were GCS score, status of the basal cisterns and the fourth ventricle, and the presence of supratentorial hydrocephalus. Multivariate analysis showed significant independent prognostic effect only for GCS score (P<0.05).
acute posterior fossa subdural haematomas can be divided into two distinct groups: those patients admitted in a comatose state and those with a moderate/mild head injury on admission. Comatose patients present usually with signs of posterior fossa mass effect and have a high percentage of bad outcomes. On the contrary, patients admitted with a GCS of 8 or higher are expected to recover. In these patients the thickness of the haematoma (<1 cm) seems to be a guide to indicate surgical evacuation of the haematoma.</abstract><cop>Austria</cop><pub>Springer Nature B.V</pub><pmid>14663560</pmid><doi>10.1007/s00701-003-0150-y</doi><tpages>8</tpages></addata></record> |
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| ispartof | Acta neurochirurgica, 2003-12, Vol.145 (12), p.1037-1044 |
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| subjects | 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 |
| title | Traumatic acute subdural haematomas of the posterior fossa: clinicoradiological analysis of 24 patients |
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