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

Publication

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

Journal Paper/Review - May 11, 2018

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

Citation

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.

Type

Journal Paper/Review (English)

Journal

Acta Neurochir (Wien) 2018; 160

Publication Date

May 11, 2018

Issn Electronic

0942-0940

Pages

1311-1314

Brief description/objective

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.