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Journal of Korean Neurosurgical Society 1999;28(11): 1636-1638.
Rapid Spontaneous Resolution of Acute Subdural Hematoma.
Hun Kim, Young Bo Shim, Dae Jin Chung, Sung Min Kim, Yong Kee Park, Sun Kil Choi
Department of Nuerosurgery, College of Medicine, Hallym University, Seoul, Korea.
ABSTRACT
Usually, large amount of acute subdural hematoma needs prompt surgical removal. We report a case of rapid spontaneous resolution in a day. A 78-old female was admitted in comatose state after falling off from a bus. Initial brain CT scan revealed large amount of acute subdural hematoma that was completely resolved on follow-up brain CT taken 26hours after craniocerebral trauma. The spontaneous resolution needs redistribution of hematoma and dilution by CSF. The low density space between inner skull table and hematoma may suggest the possibility of spontaneous resolution.
Key Words: Acute subdural hematoma; Rapid spontaneous resolution
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