Romanian Neurosurgery (Dec 2016)
Traumatic cerebellar hematoma in paediatric patient
Abstract
Paediatric trauma is common emergency in emergency departments of hospitals worldwide. One of the uniqueness is the trauma sustained mostly in household areas and even the mode of injury is often subtle. Paediatric head injury is the one of the common reasons for children visiting the emergency department. Expert management and gentle care is an essential requirement in paediatric head injury cases. The management of the paediatric traumatic brain injury certainly depends upon the clinical conditions of patient and computed tomography {CT} findings. Most of the traumatic brain injuries can be managed conservatively but at times the surgical management has to be undertaken. A 6 month old child admitted with the history head injury. NCCT head revealed cerebellar hematoma with overlying subdural haemorrhage. Initially the child was managed conservatively but as the sensorium deteriorated the surgical evacuation was performed. The paediatric post fossa traumatic haemorrhage is a relatively uncommon and the management also needs to be individualized as per the patient’s condition.