engleski

Traumatski cerebelarni hematom s dobrim ishodom

A 26-year-old man was admitted to trauma department with head trauma due to fall from a ladder. He presented with a several-day history of progressive headache with vomiting. Glasgow Coma Scale (GCS) was 15 and detailed neurological examination was normal. Computed tomography (CT) scan demonstrated occipital skull fracture with traumatic cerebellar hematoma measuring 11 mm (Figs. 1 and 2). Traumatic cerebellar hematomas are rare, reported in <1% of all head injuries. Although rare, they are an important cause of morbidity and mortality. CT scan is the initial and gold standard investigation to evaluate traumatic cerebellar hematomas (1). Initial GCS score at the time of admission is the most important factor predicting the outcome. Patients with GCS >8 have good outcome, either managed conservatively or surgi-cally. In our patient, surgery was not indicated. According to current guidelines, the patient was conserva-tively treated with good recovery. The patient was discharged home after follow up CT scan that showed regression of hematoma. In conclusion, conscious, small hemispheric hematomas can be serially followed up with widely and easily available CT scan and regular neurological status monitoring, thus avoiding unneces-sary surgical evacuation

rauma, occipital skull fracture, traumatic cerebellar hematoma

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