Unusual Case of Posterior Fossa Extradural Hematoma in a Child: Review of the Literature.

Introduction Posterior fossa extradural hematoma (PFEH) is a rare pathology often due to nuchal region trauma. In children, PFEH causes rapid decline of the neurological status also for brain stem compression. Early brain computed tomography (CT) scan is necessary suspicious for PFEH. Most patients need surgical evacuation. Case presentation In this article, we present a 5-year-old patient arrived for meningitis that came out in favor of PFEH after an accurate history record. Discussion/conclusion Accurate anamnestic records, especially in pediatric patients, prevent from misleading clinic and neurological presentation. Brain CT scan is an indispensable diagnostic tool in order to promptly recognize and treat PFEH considering that rapid cognitive impairment of patients raises the risk of mortality and morbidity.