Extradural hematoma of the posterior fossa. A series of 20 consecutive cases

Extradural hematoma of the posterior fossa (EDHPF) is considered to be a rare complication of head injuries. In early reports, diagnosis was made only at the rime of autopsy. Today, CT scanning prompts entry diagnosis lending to better outcome. WE report 20 consecutive patients observed over the last ten rears who underwent surgery for EDHPF. This localization was found in 14,3 % of air trauma patients operated for extradural hematoma. In our experience, EDHPF occurs in young adults with a clear male predominance. Vehicle accidents are the most frequent mechanism of injury. The main clinical presentation is subacute onset of signs (50 % of our eases). Postoperative outcome was favorable in 19 of our patients (95 %). We propose mandatory CT scanning that may have to be repeated as needed, to prevent delay in diagnosis anti decision for surgery. Surgical removal of the EDHPF must br carried out as soon as possible as this is the only M way to reduce morbidity and mortality.