Case report on the spontaneous resolution of a traumatic intracranial acute subdural haematoma: evaluation of the guidelines.

Publikation

Case report on the spontaneous resolution of a traumatic intracranial acute subdural haematoma: evaluation of the guidelines.

Wissenschaftlicher Artikel/Review - 11.05.2018

Hostettler Isabel, Murahari Srinivas, Raza Muhammad, Kontojannis Vassilios, Tsang Kevin, Kareem Haider, Jones Brynmor, Wilson Mark

Zitation

Hostettler I, Murahari S, Raza M, Kontojannis V, Tsang K, Kareem H, Jones B, Wilson M. Case report on the spontaneous resolution of a traumatic intracranial acute subdural haematoma: evaluation of the guidelines. Acta Neurochir (Wien) 2018; 160:1311-1314.

Art

Wissenschaftlicher Artikel/Review (Englisch)

Zeitschrift

Acta Neurochir (Wien) 2018; 160

Veröffentlichungsdatum

11.05.2018

eISSN (Online)

0942-0940

Seiten

1311-1314

Kurzbeschreibung/Zielsetzung

Rapid spontaneous resolution of traumatic acute subdural haematomas (ASDH) can occur but is rare. We present an 88-year-old female who presents with a large left acute subdural haematoma (ASDH) measuring 18 mm in thickness with midline shift of 10.7 mm. We managed her conservatively based upon good consciousness level and absent neurological deficits. Repeat computed tomography (CT) the following day demonstrated near complete resolution of the ASDH and midline shift regression; a further CT confirmed resolution. Most patients with large ASDH require surgical evacuation; however, in rare cases, they can resolve spontaneously with extreme rapidity. Conservative management can be a valid option in carefully selected cases.