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Spontaneous rapid resolution of acute subdural hematoma after head trauma: is it truly rare? Case report and relevant review of the literature.
MedLine Citation:
PMID:  18807104     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND: Spontaneous rapid resolution of acute subdural hematoma (ASDH) is a rare phenomenon for this severe insult after head trauma. CASE REPORT: We present a 22-year-old patient who developed ASDH with a moderate midline shift and compression of lateral ventricle after a truncal collision but without a direct beat on the head. Conservative management was performed under close monitoring because of unexpected improvement of clinical signs and symptoms. Unexpectedly, the ASDH resolved spontaneously within 13 h after the trauma, and he was discharged 1 week later without any neurological deficit. In addition, similar cases reported in literature were reviewed. CONCLUSION: Because most of the patients developing ASDH underwent emergent surgical intervention, the incidence of this phenomenon may be underestimated. Although emergent surgical removal remains the first choice for the treatment of ASDH, conservative management with careful monitoring may also work out in selected patients who show neurologic and radiologic improvements.
Authors:
L Wen; W G Liu; L Ma; R Y Zhan; G Li; X F Yang
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Publication Detail:
Type:  Case Reports; Journal Article; Review     Date:  2008-09-20
Journal Detail:
Title:  Irish journal of medical science     Volume:  178     ISSN:  1863-4362     ISO Abbreviation:  Ir J Med Sci     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-08-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7806864     Medline TA:  Ir J Med Sci     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  367-71     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, 310003 Zhejiang, People's Republic of China.
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