Traumatic extradural hematoma in the middle cranial fossa base: clinical analysis of 14 cases

摘要

Objective: To explore clinical characteristics, CT manifestation and operative indications of traumatic extradural hematoma in the middle cranial fossa base (EHMCFB). Methods: A total of 14 cases with traumatic EHMCFB from January 1997 to May 2000 were retrospectively analyzed. Results: Of 14 cases, 12 cases (85.7%) maintained form change of cisterna ambiens for being pressed; 11 cases who received operations were all cured; 3 received conservative therapy, of whom 2 became better and 1 died. Conclusions: In traumatic EHMCFB, the form change of cisterna ambiens occurs easily. Therefore, if there appears progressively aggravated form change of cisterna ambiens after the cisterna ambiens being pressed, an early and active operation is necessary and crucial.