Hostettler, IC;
Murahari, S;
Raza, MH;
Kontojannis, V;
Tsang, K;
Kareem, H;
Jones, B;
(2018)
Case report on the spontaneous resolution of a traumatic intracranial acute subdural haematoma: evaluation of the guidelines.
Acta Neurochirurgica
, 160
(7)
pp. 1311-1314.
10.1007/s00701-018-3556-2.
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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.
| Type: | Article |
|---|---|
| Title: | Case report on the spontaneous resolution of a traumatic intracranial acute subdural haematoma: evaluation of the guidelines |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1007/s00701-018-3556-2 |
| Publisher version: | https://doi.org/10.1007/s00701-018-3556-2 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Acute subdural haematoma, midline shift, conservative management, spontaneous resolution. |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10079355 |
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