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Spontaneous Resolution Of Post-traumatic Chronic Subdural Hematoma: Case Report

Marcikic et al., 2010Other/Unknown

Marcikić, M., Hreckovski, B., Samardzić, J., MARTinović, M., & Rotim, K. (2010). spontaneous resolution of post-traumatic chronic subdural hematoma: case report. Acta clinica Croatica, 49(3), 331–334. https://doi.org/10.11604/pamj.2017.28.167.13944

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Abstract

Spontaneous resolution of post-traumatic chronic subdural hematoma is a very rare and unexpected event. It has been rarely reported in the literature, mostly cases of chronic subdural hematoma resolution in idiopathic thrombocytopenic purpura. Operative procedure is generally considered the treatment of choice for chronic subdural hematoma. We present a rare case, which did not require an open surgery, i.e. a case of post-traumatic chronic subdural hematoma spontaneous resolution in a 76-year-old female having sustained a fall without classic head injury. The possibility of conservative treatment is extremely rare in patients with chronic subdural hematoma, but it should be considered based on the patient's neurological and physical condition.

Case Details

Disease Location

Subdural hematoma

Personal Characteristics

76 -year-old female

Clinical Characteristics

Fell down because of high blood pressure crisis followed by dizziness. She did not strike her head directly, but in critical moment, her brain suffered sudden and vigorous moving in the skull, which caused rupture of the bridging veins. CT scan revealed left-sided frontoparietal csdh with mild shift and swollen upper part of the left brain lobe

Remission Characteristics

The next CT scan taken a months later revealed a 50% resolution of the hematoma, with lowering of lobe swelling and better presented subarachnoid space

Treatment & Mechanisms

Proposed Remission Mechanisms

Not discussed