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Thomas J. Arkins, MD; James E. McLennan, MD; Ken R. Winston, MD; Roy D. Strand, MD; Yamato Suzuki, MD

Am J Dis Child. 1977;131(6):690-692.

Abstract
• Epidural hematoma in the posterior fossa is a rare clinical entity requiring immediate surgical intervention to prevent rapid and fatal deterioration. This diagnosis should be considered in children with occipital head trauma who have altered sensorium and evidence of compression of structures within the posterior fossa. Such a clinical setting demands close neurologic observation in a facility where contrast studies and neurosurgical intervention are available. The absence of an occipital skull fracture or the presence of normal pulse rate and blood pressure should not influence the decision. Lumbar puncture is absolutely contraindicated.

(Am J Dis Child 131:690-692, 1977)

Author Affiliations
From the Departments of Neurosurgery and Radiology (Neuroradiology), Children's Hospital Medical Center, Boston. Dr Suzuki is now with the Department of Neurosurgery, Albert Einstein College of Medicine, Bronx, NY.

Footnotes
Reprint requests to Department of Neurosurgery, Children's Hospital Medical Center, 300 Longwood Ave, Boston, MA 02115 (Dr Arkins).

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