Ultra-rapid spontaneous resolution of acute posttraumatic subdural hematomas in patient with temporal linear fracture

Ultra-rapid spontaneous resolution of acute posttraumatic subdural hematomas in patient with temporal linear fracture

We report a case of 57 year-old man with documented posttraumatic acute subdural hematoma and a linear temporal bone fracture. He suffered from a blunt head injury and presented with sudden loss of consciousness. Within 2 hours he became alert and oriented. Follow-up CT scan of brain 2 hours after t...

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Bibliographic Details
Published in:Acta neurochirurgica Vol. 145; no. 8; pp. 715 - 717
Main Authors: BERKER, M, GULSEN, S, OZCAN, O. E, RAPPAPORT, H, CZEMICKI, Z
Format: Journal Article
Language:English
Published: Wien Springer 01-08-2003
New York, NY Springer Nature B.V
Subjects:
Biological and medical sciences
Head injuries
Hematoma, Subdural, Acute - etiology
Hematoma, Subdural, Acute - physiopathology
Humans
Injuries of the nervous system and the skull. Diseases due to physical agents
Male
Medical sciences
Middle Aged
Remission, Spontaneous
Skull Fractures - complications
Temporal Bone - injuries
Time Factors
Traumas. Diseases due to physical agents
Human
Subdural
Nervous system diseases
Temporal bone
Radiodiagnosis
Acute
Craniocerebral
Spontaneous
Diseases of the osteoarticular system
Cardiovascular disease
Fracture
Trauma
Cerebral disorder
Vascular disease
Case study
Central nervous system disease
Hematoma
Skull disease
spontaneous resolution
Medical imagery
Evolution
Computerized axial tomography
linear fracture
Acute subdural hematoma
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Description
Summary:We report a case of 57 year-old man with documented posttraumatic acute subdural hematoma and a linear temporal bone fracture. He suffered from a blunt head injury and presented with sudden loss of consciousness. Within 2 hours he became alert and oriented. Follow-up CT scan of brain 2 hours after the initial one showed resolution and redistribution of the subdural hematoma. To our knowledge, this is the first case in the literature about spontaneous resolution of an acute subdural hematoma in a patient with a linear fracture and the fastest resolution period. In this article, the authors discuss the underlying pathophysiology of this uncommon phenomenon.
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ISSN:0001-6268
0942-0940
DOI:10.1007/s00701-003-0090-6