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Irish Journal of Medical Science

, Volume 178, Issue 3, pp 367–371 | Cite as

Spontaneous rapid resolution of acute subdural hematoma after head trauma: Is it truly rare?

Case report and relevant review of the literature
  • L. Wen
  • W. G. Liu
  • L. Ma
  • R. Y. Zhan
  • G. Li
  • X. F. YangEmail author
Case Report

Abstract

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.

Keywords

Acute subdural hematoma Spontaneous resolution Traumatic brain injury 

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Copyright information

© Royal Academy of Medicine in Ireland 2008

Authors and Affiliations

  • L. Wen
    • 1
    • 3
  • W. G. Liu
    • 2
    • 3
  • L. Ma
    • 2
    • 3
  • R. Y. Zhan
    • 1
    • 3
  • G. Li
    • 1
    • 3
  • X. F. Yang
    • 1
    • 3
    Email author
  1. 1.Department of Neurosurgery, First Affiliated Hospital, College of MedicineZhejiang UniversityHangzhouPeople’s Republic of China
  2. 2.Department of Neurosurgery, Second Affiliated Hospital, College of MedicineZhejiang University HangzhouPeople’s Republic of China
  3. 3.Institute of Brain MedicineZhejiang University HangzhouPeople’s Republic of China

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