Document Detail


Spontaneous resolution of chronic subdural hematoma.
MedLine Citation:
PMID:  10825513     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Spontaneous resolution of chronic subdural hematoma has rarely been reported in the literature, and its mechanism has not been fully investigated. Response to surgery has been very satisfactory; in fact, this is generally considered the treatment of choice. METHODS: From a series of 24 cases of chronic subdural hematomas, we observed five patients between 1996 to 1998. These patients showed headache and decrease of cognitive level, 4-5 weeks after minor head injury. Neurologic evaluation revealed only worsening of mental function according to Mini Mental State Examination (MMSE). Computed tomography (CT) scans showed brain atrophy and chronic subdural hematoma without increased intracranial pressure. These patients were treated by clinical observation and serial cerebral CT scans. RESULTS: After 7 to 10 days, all patients showed improvement of clinical signs. After 30 to 45 days, radiological disappearance or marked reduction in size of the hematoma and complete clinical recovery were obtained. No neurological deficits and no recurrences have been observed during follow-up (3 months to 2 years). CONCLUSIONS: We believe that age greater than 70 years, decreased cognitive level (MMSE = 21), brain atrophy, and absence of increase of intracranial pressure are clinical and radiological signs that allow one to choose conservative treatment.
Authors:
C Parlato; A Guarracino; A Moraci
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgical neurology     Volume:  53     ISSN:  0090-3019     ISO Abbreviation:  Surg Neurol     Publication Date:  2000 Apr 
Date Detail:
Created Date:  2000-07-11     Completed Date:  2000-07-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0367070     Medline TA:  Surg Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  312-5; discussion 315-7     Citation Subset:  IM    
Affiliation:
Institute of Neurosurgery, Second University of Naples, Viale Colli Aminei 2, 80131, Naples, Italy.
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MeSH Terms
Descriptor/Qualifier:
Aged
Chronic Disease
Female
Hematoma, Subdural / etiology,  radiography*
Humans
Male
Remission, Spontaneous
Tomography, X-Ray Computed

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