ACUTE TRAUMATIC POSTERIOR-FOSSA SUBDURAL HEMATOMAS

Acute Posterior Fossa Subdural Haematoma (PFSDH) caused by trauma is a clinical rarity: only 13 cases have been encountered in the literatur e. Three consecutive personal cases of PFSDH are presented. Two of the m are respectively the sixth and the seventh surgically treated cases with success. Among the 16 cases 60% had a sudden clinical worsening w ithin 24 hours. Seven cases had an occipital fracture. Of the thirteen cases operated upon 11 (85%) were in a state of deep coma. The surgic al mortality was 46%. One patient had a good recovery (Grade 5) and si x a moderate disability (Grade 4) on the Glasgow Outcome Scale. We con clude that surgical treatment must always be carried out even in patie nts presenting in an agonal state.