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Spontaneous Disappearance of a Large Chronic Subdural Hematoma: A Pleasant Surprise

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Abstract

We report an extremely rare case of spontaneous complete disappearance of a large chronic subdural hematoma in a 78-year aged man with a significant mass effect and a large midline shift which was diagnosed around 6 weeks before admission. Repeat NCCT of the head in our department to everyone’s surprise revealed almost complete spontaneous resolution. Spontaneous resolution of a large chronic subdural hematoma is extremely rare, and the scarce literature whatsoever is available is especially in cases of immune thrombocytopenic purpura where steroids may play a role in the stabilization of neomembranes. Our interest is in this case because of the benign clinical course despite a large size causing severe mass effect and large midline shift. Chronic subdural hematoma is a common entity in the elderly generally seen weeks following minor trauma. Surgical evacuation of a chronic subdural hematoma remains the gold standard treatment, but controversy exists regarding the best surgical option. Spontaneous resolution of a chronic subdural hematoma has also been reported rarely, but mainly in patients with immune thrombocytopenic purpura.

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The authors declare that they have no competing interests.

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Authors and Affiliations

  1. Department of Neurosurgery, Dayanand Medical College & Hospital, 10-B Udham Singh Nagar, Ludhiana, Punjab, India

    Hanish Bansal, Apinderpreet Singh & Ashwani Chaudhary

  2. Department of Surgery, Dayanand Medical College & Hospital, 10-B Udham Singh Nagar, Ludhiana, Punjab, India

    Anuj Mahajan

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  1. Hanish Bansal
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  2. Anuj Mahajan
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  3. Apinderpreet Singh
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  4. Ashwani Chaudhary
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Correspondence to Hanish Bansal.

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Bansal, H., Mahajan, A., Singh, A. et al. Spontaneous Disappearance of a Large Chronic Subdural Hematoma: A Pleasant Surprise. Indian J Surg 77, 532–534 (2015). https://doi.org/10.1007/s12262-015-1323-7

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  • DOI: https://doi.org/10.1007/s12262-015-1323-7

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