[Acute XXXX in the posterior fossa (author's transl)].

@entity1 @entity1688 @entity410 @entity174 @entity16 @entity542 @entity772 @entity11757 @entity51 @entity386
A 2-year-old @entity1 was admitted to Chugoku Rosai Hospital one hour after a car accident on July 16, 1978. On admission she was conscious and no physical or @entity16 was found. However, 2 hours and a half after the accident, she was attacked suddenly by generalized @entity410 , and then became comatose with @entity386 . Bilateral horizontal nystagmus to the left, rhythmic constriction and dilation of the pupils reacting to light, and flaccid @entity1688 were recognized. Plain skull films revealed a linear @entity174 in the right posterior fossa, which crossed the transverse this region. A burr hole was made in the left posterior fossa, and slightly xanthochromic fluid, 30 to 40 microliter in volume, under high pressure was evacuated from the subdural space. A burr hole on the right side disclosed no abnormality. Spontaneous respiration returned immediately and consciousness became clear 5 hours after the surgery. No @entity51 was detect and postoperative EEG was normal. She was discharged from the hospital on July 27, 1978. Ten cases of acute @entity11757 in the posterior fossa, including the present case, were analyzed. This lesion is able to be cured completely by a simple operation even in @entity772 with @entity386 , if diagnosis made promptly and the surgery is carried out without delay. In cases of acute @entity542 , it is quite important to have a possibility of the infratentorial lesion in mind and to find it with the aids of plain skull film of Towne's view, CT scan, and VAG if necessary.
