TY - JOUR
T1 - The uncommon delayed neurological deficit in posterior fossa chronic epidural hematoma
T2 - A case report
AU - Permana, Galih Indra
AU - Meizikri, Rizki
AU - Apriawan, Tedy
AU - Suroto, Nur Setiawan
AU - Bajamal, Abdul Hafid
N1 - Publisher Copyright:
© 2022
PY - 2022/10
Y1 - 2022/10
N2 - Background: Chronic epidural hematoma (CEDH) is uncommon and therefore, less well characterized. The incidence of CEDH ranges from 3.9 % to 30 % of all epidural hematomas. Posterior fossa epidural hematomas represent a rare clinical entity. It has been reported in only 4–7 % of all extradural hematomas. This rare condition may present with rapid clinical deterioration by quick increase in size that may cause brain stem compression. This study aims to provide a case of chronic epidural hematoma with uncommon sign of delayed neurological deficits, specifically in the posterior fossa region. Case presentation: We report a case of a 34-years-old male with left upper and lower extremities weakness for 3 days before admission. The patient had a history of falling from a height of approximately 3 m about 3 weeks ago. Craniotomy epidural hematoma evacuation was performed on the patient. Conclusion: Chronic epidural hematoma is uncommon and therefore, less well characterized. The results of surgical care of symptomatic chronic posterior fossa EDH are often excellent. Early diagnosis and emergent evacuation provide better outcome.
AB - Background: Chronic epidural hematoma (CEDH) is uncommon and therefore, less well characterized. The incidence of CEDH ranges from 3.9 % to 30 % of all epidural hematomas. Posterior fossa epidural hematomas represent a rare clinical entity. It has been reported in only 4–7 % of all extradural hematomas. This rare condition may present with rapid clinical deterioration by quick increase in size that may cause brain stem compression. This study aims to provide a case of chronic epidural hematoma with uncommon sign of delayed neurological deficits, specifically in the posterior fossa region. Case presentation: We report a case of a 34-years-old male with left upper and lower extremities weakness for 3 days before admission. The patient had a history of falling from a height of approximately 3 m about 3 weeks ago. Craniotomy epidural hematoma evacuation was performed on the patient. Conclusion: Chronic epidural hematoma is uncommon and therefore, less well characterized. The results of surgical care of symptomatic chronic posterior fossa EDH are often excellent. Early diagnosis and emergent evacuation provide better outcome.
KW - Chronic epidural hematoma
KW - Delayed neurological deficit
KW - Posterior fossa epidural hematoma
KW - Surgical
UR - http://www.scopus.com/inward/record.url?scp=85139737925&partnerID=8YFLogxK
U2 - 10.1016/j.ijscr.2022.107725
DO - 10.1016/j.ijscr.2022.107725
M3 - Article
AN - SCOPUS:85139737925
SN - 2210-2612
VL - 99
JO - International Journal of Surgery Case Reports
JF - International Journal of Surgery Case Reports
M1 - 107725
ER -