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Pu Zu-y - One of the best experts on this subject based on the ideXlab platform.

  • Surgical treatment for patients with traumatic hematomas of the Posterior Cranial Fossa in children.
    Hainan Medical Journal, 2013
    Co-Authors: Pu Zu-y
    Abstract:

    Objective To explore the clinical features ,diagnosis ,the surgical treatment methods and the clinic outcome for patients with traumatic hematomas of the Posterior Cranial Fossa in children. Methods From January 2004 to December 2011, 18 patients with traumatic hematomas of the Posterior Cranial Fossa were treated by surgical operations, and the clinical data of these patients were analyzed retrospectively. Results Of total 18 cases, the epidural hematoma located at unilateral Posterior Cranial Fossa was found in 12 cases , located at bilateral Posterior Cranial Fossa was found in 2 cases and the hematoma riding transverse sinuses was found in 2 cases. The epidural hematoma was found in 3 cases and cerebellar hematoma was found in 1case. The complication of subdural hematoma in frontal and temporal lobes was found in 2 cases and complication subdural hematoma in frontal lobe was found in 2 cases. Acute noncommunicating hydrocephalus was found in 6 case, the fourth ventricle markedly deformed and/or displaced was seen in 7 cases and the ambient cistern can’t visualized was found in 2 case. Two patients died after surgery. The 16 follow-up survivors were evaluated by Glasgow Outcome Scale (GOS) 6 months after surgery, GOS 2 was found in 1 cases, GOS 3 in 3 cases, GOS 4 in 5 cases, GOS 5 in 7 cases. Conclusion The traumatic hematomas of Posterior Cranial Fossa in children was an emergency and serious disease. According to the clinical symptoms, physical sign and situation of the hematoma, it's the key to improve prognosis of patients, who having operation indications, by means of taking prompt and rational surgical treatment methods after early diagnosis.

Li Ying - One of the best experts on this subject based on the ideXlab platform.

  • Traumatic hematomas of the Posterior Cranial Fossa in children
    Journal of Traumatic Surgery, 2002
    Co-Authors: Li Ying
    Abstract:

    Objective To discuss the clinical features ,diagnosis and treatment of the traumatic hematomas of Posterior Cranial Fossa in children.?Methods The clinical data of thirty six patients with traumatic hematomas of Posterior Cranial Fossa in our hospital from Jan 1986 to Dec 2000 were reviewed.?Results Nineteen patients had epidural hematomas. Twelve patients had subdural hematomas,and three of them had cerebral contusion. Four patients had intracerebellar hematomas,among whom 2 cases had acute obstructive hydrocephalus. One patient had hamorrhage in Ⅳth ventricule.Twenty one patients had occipital skull fracture.?Ten patients were treated conservatively with 8 cases cured.Twenty eight cases were managed by emergency surgery with 26 cases recovered and 2 cases died.?Conclusion The clinical course of the traumatic hematomas of Posterior Cranial Fossa in children is acute and severe.The early diagnosis and prompt treatment are neccessary for achieving good results.

Junkoh Yamashita - One of the best experts on this subject based on the ideXlab platform.

Laszlo Solymosi - One of the best experts on this subject based on the ideXlab platform.

  • subdural enhancement on postoperative spinal mri after resection of Posterior Cranial Fossa tumours
    Neuroradiology, 2004
    Co-Authors: Monika Warmuthmetz, J Kuhl, Juergen Krauss, Laszlo Solymosi
    Abstract:

    In malignant brain tumours which may disseminate staging, usually by Cranial and spinal MRI is necessary. If MRI is performed in the postoperative period pitfalls should be considered. Nonspecific subdural contrast enhancement on spinal staging MRI is rarely reported after resection of Posterior Fossa tumours, which may be mistaken for dissemination of malignancy. We investigated the frequency of spinal subdural enhancement after Posterior Cranial Fossa neurosurgery in children. We reviewed 53 postoperative spinal MRI studies performed for staging of paediatric malignant brain tumours, mainly infratentorial primitive neuroectodermal tumours 2–40 days after surgery. There was contrast enhancement in the spinal subdural space in seven cases. This was not seen in any of eight patients who had been operated upon for a supratentorial tumour. After resection of 45 Posterior Cranial Fossa tumours the frequency of subdural enhancement was 15.5%. MRI showing subdural enhancement was obtained up to 25 days postoperatively. No patient with subdural enhancement had cerebrospinal fluid (CSF) examinations positive for tumour cells or developed dissemination of disease in the CSF. Because the characteristic appearances of subdural contrast enhancement, appropriate interpretation is possible; diagnosis of neoplastic meningitis should rarely be impeded. Because of the striking similarity to that in patients with a low CSF-pressure syndrome and in view of the fact that only resection of tumours of the Posterior Cranial Fossa, usually associated with obstructive hydrocephalus, was followed by this type of enhancement one might suggest that rapid changes in CSF pressure are implicated, rather the effects of blood introduced into the spinal canal at surgery.

Lou Jian-yun - One of the best experts on this subject based on the ideXlab platform.

  • Experience in Surgical Treatment of Children with Tumors of Posterior Cranial Fossa
    Journal of Gannan Medical University, 2012
    Co-Authors: Lou Jian-yun
    Abstract:

    Objective:To explore the clinical curative effect of microsurgery of the Posterior Cranial Fossa tumor resection in children.Methods:The clinical data were retrospectively analyzed of 17 children with tumors of Posterior Cranial Fossa admitted from 2009 to 2011.The patients underwent Posterior Cranial Fossa surgery either by traditional surgical approach,using the suboccipital midline incision,or by cerebellomedullary fissure approach.Result:Of the 17 cases,13 got total tumor removal,4 got subtotal tumor removal.One of them died after surgery.Cerebellum silent syndrome and oropharyngeal apraxia occurred in 1 case,after 2 months' treatment the the symptoms disappeared basically.Cerebrospinal fluid leak occurred in 1 case and was cured after reinforced stitched and bandaged.Conclusion:Children with Posterior Fossa tumors should choose microsurgical techniques.The traditional surgical approach need to cut the cerebellar vermis,the damage is relatively large,relatively with more postoperative complications.By cerebellomedullary fissure approach can relatively reduce the damage of blood vessels,nerves and normal brain tissue,which can decrease the incidence of postoperative cerebellar silent syndrome and other complications,but it is relatively difficult to master.