{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T12:43:25Z","timestamp":1776775405718,"version":"3.51.2"},"reference-count":31,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T00:00:00Z","timestamp":1693785600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T00:00:00Z","timestamp":1693785600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T00:00:00Z","timestamp":1693785600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Youth Foundation of China","doi-asserted-by":"crossref","award":["No.81602204"],"award-info":[{"award-number":["No.81602204"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Hubei Province Association of Pathophysiology","award":["No.2021HBAP007"],"award-info":[{"award-number":["No.2021HBAP007"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Posterior fossa epidural hematoma (PFEDH) is rare which accounts for just 4\u201312.9% of all EDH cases. Since its frequently subtle and nonspecific clinical presentation, CT scan has great importance for early diagnosis and treatment of PFEDH. However, indications for surgery depending on the findings of CT image are still controversial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively analyzed 40 pediatric cases of PFEDH. Their baseline characteristic, clinical presentation, imaging findings and outcomes were collected and analyzed. The ellipsoid volume equation <jats:italic>X<\/jats:italic>\u2009\u00d7\u2009<jats:italic>Y<\/jats:italic>\u2009\u00d7\u2009<jats:italic>Z<\/jats:italic>\/2 was used to measure the hematoma volume. The Glasgow Outcome Scale (GOS) was used to assess the neurologic functional outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 40 pediatric PFEH patients were included with 8 patients having poor outcome and 32 patients having a relatively good prognosis. GCS score showed a significant difference between good and poor outcome groups (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). <jats:italic>Y<\/jats:italic> value on CT image was significantly bigger in poor outcome group than good outcome group (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). Similar results were got in <jats:italic>X<\/jats:italic>\/<jats:italic>Z<\/jats:italic> value (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05) and <jats:italic>Y<\/jats:italic>\/<jats:italic>Z<\/jats:italic> value (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) which reflected the shape of hematoma. A predictive model with <jats:italic>Y<\/jats:italic>\u2009+\u2009<jats:italic>X<\/jats:italic>\/<jats:italic>Z<\/jats:italic> showed the largest area under the ROC curve with a sensitivity of 75.0% and specificity of 93.7%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>GCS score at admission was closely related to the prognosis of the pediatric patients with PFEDH. The morphometry of PFEDH has a crucial role in judging the prognosis. Axial convex\u2010shaped hematoma was associated with poor curative effect of surgical treatment.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-023-07161-8","type":"journal-article","created":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T17:02:19Z","timestamp":1693846939000},"page":"2932-2939","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Axial Convex\u2010Shaped Hematoma was Associated with Poor Curative Effect of Surgical Treatment for Traumatic Posterior Fossa Epidural Hematoma in Children"],"prefix":"10.1002","volume":"47","author":[{"given":"Zhuangzhuang","family":"Miao","sequence":"first","affiliation":[{"name":"Department of Neurosurgery Tongji Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin","family":"Lei","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Tongji Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Tongji Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xueyan","family":"Wan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Tongji Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Tongji Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongquan","family":"Niu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Tongji Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ting","family":"Lei","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery Tongji Hospital Tongji Medical College Huazhong University of Science and Technology Wuhan China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,9,4]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1227\/00006123\u2010198405000\u201000002"},{"key":"e_1_2_10_3_1","first-page":"337","article-title":"Extradural hematomas in children. 104 cases","volume":"1","author":"Choux M","year":"1975","journal-title":"Childs 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August 2023","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 September 2023","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no conflict of interest.Patient consent was waived as this retrospective study had no effect on the rights, health, or privacy of the subjects. The risk to the subjects of the study was not greater than the minimum risk.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study was conducted in accordance with the Declaration of Helsinki and approved by the Medical Ethics Committee of Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology (protocol code, TJ-IRB20220921; date of approval, 9 September 2022).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}}]}}