Rapid Spontaneous Resolution of Traumatic Acute Subdural Hematoma

Sung Ho Choi; Chan Woo Park; Jae Myung Kim; Eun Young Kim; Chan Jong Yoo; Young Bo Kim; Sang Gu Lee; Cheol Wan Park; Woo Kyung Kim; Uhn Lee

doi:10.13004/jknts.2011.7.1.47

Journal List > J Korean Neurotraumatol Soc > v.7(1) > 1084097

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Choi, Park, Kim, Kim, Yoo, Kim, Lee, Park, Kim, and Lee: Rapid Spontaneous Resolution of Traumatic Acute Subdural Hematoma

Case Report

Journal of Korean Neurotraumatology Society 2011; 7(1): 47-49.

Published online: 30 April 2011

DOI: https://doi.org/10.13004/jknts.2011.7.1.47

Rapid Spontaneous Resolution of Traumatic Acute Subdural Hematoma

Sung Ho Choi, MD, Chan Woo Park, MD, Jae Myung Kim, MD, Eun Young Kim, MD, Chan Jong Yoo, MD, Young Bo Kim, MD, Sang Gu Lee, MD, Cheol Wan Park, MD, Woo Kyung Kim, MD, Uhn Lee, MD

Department of Neurosurgery, Gachon University of Medical & Science, Gil Medical Center, Incheon, Korea.

Address for correspondence: Sung Ho Choi, MD. Department of Neurosurgery, Gachon University of Medical & Science, Gil Medical Center, 1198 Guwol-dong, Namdong-gu, Incheon 405-760, Korea. Tel: +82-32-460-3304, Fax: +82-32-460-3899, phoenix3070@naver.com

Received 15 March 2011 Revised 17 March 2011 Accepted 13 April 2011

Abstract

Rapid spontaneous resolution of traumatic acute subdural hematoma (SDH) is a rare and unexpectable phenomenon. A 67-year-old man presented with confused mental state after falling down. Initial brain computed tomography (CT) scan revealed an acute SDH with thickness of approximately 10mm, which was managed conservatively. Six days after conservative management, follow-up CT showed complete resolution of the hematoma. The other case of 61-year-old woman was an acute traumatic SDH after falling out of wheelchair that reduced spontaneously. We report two cases of traumatic acute SDH with spontaneous reduction and possible mechanism of spontaneous resolution of acute SDH with relevant review of the literature.

Keywords: Rapid resolution, Acute subdural hematoma

Figures and Tables

FIGURE 1

Brain CT images of case 1. A: Initial brain CT scan on admission shows an acute SDH with a maximal thickness of approximately 10 mm. B: A follow-up brain CT scan 3 hours after the initial scan shows a resolution of the SDH. C: 6 days later after admission, a follow-up brain CT image revealed a complete resolution of acute SDH. SDH: subdural hematoma.

FIGURE 2

Brain CT images of case 2. A: Initial brain CT scan revealed an acute SDH with a maximal thickness of approximately 17 mm in the right convexity and a midline shift of 18 mm. B: A follow-up brain CT image 11days after the initial scan shows a resolution of SDH. SDH: subdural hematoma.

Notes

The authors have no financial conflicts of interest.

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