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Spontaneous Resolution Of A Large Chronic Subdural Hematoma: A Case Report And Review Of The Literature

Goksu, E. 2009Other/Unknown

Göksu, E., Akyüz, M., Uçar, T., & Kazan, S. (2009). spontaneous resolution of a large chronic subdural hematoma: a case report and review of the literature. Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES, 15(1), 95–98.

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Abstract

Spontaneous resolution of a chronic subdural hematoma has been reported rarely in the literature. We present herein the case of a 35-year-old patient with spontaneous resolution of a large chronic subdural hematoma, the volume of which was measured as approximately 76.5 ml on magnetic resonance imaging. No pathology was determined on neurological examination. Neither cerebral angiography nor EEG showed any abnormality. We discuss the possible relation between mechanisms of physio-pathogenesis and spontaneous resolution of chronic subdural hematomas, and also present the patient characteristics together with the other literature data.

Case Details

Disease Location

Subdural hematoma

Personal Characteristics

35-year old, left-handed man

Clinical Characteristics

Presented with speech disturbance, transient headache, transient paresthesias on left arm (symptoms gradually came on during the months prior after being hit in the head with the ball during athletic game); MRI showed right frontoparietal chronic subdural hematoma 76.5ml with mild compression of right ventricle

Remission Characteristics

135 days after presentation, MRI scans showed that hematoma had resolved completely

Treatment & Mechanisms

Clinical Treatment

Conservative treatment based on mildness of symptoms

Non-Clinical Treatment

None reported stated