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

被引:6
作者
Bansal, Hanish [1 ]
Mahajan, Anuj [2 ]
Singh, Apinderpreet [1 ]
Chaudhary, Ashwani [1 ]
机构
[1] Dayanand Med Coll & Hosp, Dept Neurosurg, 10-B Udham Singh Nagar, Ludhiana, Punjab, India
[2] Dayanand Med College& Hosp, Dept Surg, Ludhiana, Punjab, India
关键词
Chronic; Subdural; Spontaneous; Resolution; SPONTANEOUS RESOLUTION;
D O I
10.1007/s12262-015-1323-7
中图分类号
R61 [外科手术学];
学科分类号
摘要
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.
引用
收藏
页码:532 / 534
页数:3
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