Spontaneous resolution of chronic subdural hematoma: Does only the size matter?

Author:

Junior Messias Gonçalves Pacheco1,Pessoa Bruno Lima1,Landeiro Jose Alberto1,de Abreu Macedo Pedro Henrique2,Leite Marco Antônio Araújo2

Affiliation:

1. Departments of Neurosurgery, Federal Fluminense University, Rio de Janeiro, Brazil.

2. Departments of Neurology, Federal Fluminense University, Rio de Janeiro, Brazil.

Abstract

Background: Chronic subdural hematomas (CSDHs) usually occur late in adults and older after mild head trauma. Surgical intervention is the first treatment option in CSDH with conservative management being adopted in few cases. Case Description: We report a case of a 71-year-old man who presented a spontaneous resolution of a large CSDH. He presented with a difficulty of speech and an ataxic gait. Head (computed tomography scan) showed a low-density lesion located in the right frontal-temporal-parietal region. Conclusion: In this report, we discuss the spontaneous resolution of a large CSDH in elderly patients, without surgical intervention. Gradually, several successful nonsurgical therapies for the treatment of these hematomas are reported, although further studies are essential to establish the role of these nonsurgical treatments of CSDHs.

Publisher

Scientific Scholar

Subject

Neurology (clinical),Surgery

Reference13 articles.

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2. Spontaneous disappearance of a large chronic subdural hematoma: A Pleasant surprise;Bansal;Indian J Surg,2015

3. Spontaneous resolution of a large chronic subdural hematoma: A case report and review of the literature;Göksu;Turk J Trauma Emerg Surg,2009

4. Complicações tardias do traumatismo cranioencefálico;Gusmão,2005

5. Spontaneous resolution of chronic subdural hematoma: Close observation as a treatment strategy;Kim;J Korean Neurosurg Soc,2016

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