Epiduralni hematomi u zadnjoj lobanjskoj jami.

This article reports that posterior fossa epidural hematomas represent 7-14% of all traumatic intracranial epiduraI hematomas. They are most frequently encountered post-traumatic mass lesions in the posterior fossa. The aim of this study was to identify clinical features that could lead to the early diagnosis of posterior fossa epidural hematoma. Between 1960 and 2002, 28 patients with epidural hematoma of the posterior fossa were operated on at the Institute for Neurosurgery in Belgrade. Clinical course, neuroradiological investigations, and the results of surgical treatment of the patients with posterior fossa epidural hematomas were analyzed retrospectively. Almost two thirds of patients were younger than 16 years of age. Posterior fossa epidural hematoma should be suspected in cases of occipital injury, consciousness disturbances, and occipital bone fracture. In such cases urgent CAT-scan is recommended. Early recognition, early diagnosis, and prompt treatment are crucial for good neurological recovery after surgery.