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01-07-2018 | Case Report - Brain Injury

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

Authors: Isabel Charlotte Hostettler, Srinivas Murahari, Muhammad H. Raza, Vassilios Kontojannis, Kevin Tsang, Haider Kareem, Brynmor Jones, Mark Wilson

Published in: Acta Neurochirurgica | Issue 7/2018

Abstract

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.

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Title: Case report on the spontaneous resolution of a traumatic intracranial acute subdural haematoma: evaluation of the guidelines
Authors: Isabel Charlotte Hostettler
Srinivas Murahari
Muhammad H. Raza
Vassilios Kontojannis
Kevin Tsang
Haider Kareem
Brynmor Jones
Mark Wilson
Publication date: 01-07-2018
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 7/2018
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-018-3556-2

At a glance: The STEP trials

Springer Medicine

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

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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