A case of intracranial migration and rapid spontaneous resolution of traumatic acute subdural hematoma

Yıl 2015, Cilt: 2 Sayı: 3, 233 - 235, 01.03.2015

Melih Yuksel , Caner Saglam Mehmet Goktekin Mahmut Tas Abdullah Mesut

https://doi.org/10.17546/msd.35348

Öz

Traumatic acute subdural hematoma (ASDH) is one of the most destructive forms of traumatic brain injury (TBI), involving estimated mortality rates of 40-60% . Traumatic ASDH is a frequently seen life-threatening condition requiring emergency intervention. Spontaneous resolution and migration of ASDH are both rare entities, the causes of which are still not fully understood. The few existing cases in the literature of both rapid spontaneous resolution of SDH and of subdural migration are generally in the form of case reports. Publications concerning migration of SDH mainly involve migration to the lumbar region. We encountered no previous reports of intracranial migration of ASDH accompanied by rapid spontaneous resolution.

 This report describes a case of intracranial migration and spontaneous resolution within 24 h in a 61-year-old male patient with traumatic Traumatic acute subdural hematoma (ASDH), together with a discussion of the relevant mechanisms. 

Anahtar Kelimeler

intracranial subdural hematoma; emergency medicine; traumatic brain injury

A case of intracranial migration and rapid spontaneous resolution of traumatic acute subdural hematoma

Öz

Kaynakça

• Kalanithi P, Schubert RD, Lad SP, et al.Hospital costs, incidence, and inhospital mortality rates of traumatic subdural hematoma in the United States. J Neurosurg 2011;115(5):1013–18.
• Tsui EYK, Ma KF, Cheung YK, et al.Rapid spontaneous resolution and redistribution of acute subdural hematoma in a patient with chronic alcoholism. Eur J Radiol 2000;36(1): 53-7.
• Kapsalaki EZ, Machinis TG, Robison JS ,et al. Spontaneous resolution of acute cranial subdural hematomas. Clin Neurol Neurosurg 2007;109(3): 287-91.
• Nagao T, Aoki N, Mizutani H, et al.Acute subdural hematoma with
• rapid resolution in infancy: case report. Neurosurgery 1986;19(3):465-7.
• Polman CH, Gijsbers CJ, Heimans JJ,et al. Rapid spontaneous resolution of an acute subdural hematoma. Neurosurgery 1986;19(3): 446-8.
• Yadav YR , Agarwal M , Namdev H , et al.Rapid resolution of acute subdural hematoma : A case report and review of literature. Indian Journal of Neurotrauma 2011;8(1):45-8
• Bortolotti C, Wang H, Fraser K, et al.Subacute spinal subdural hematoma after spontaneous resolution of cranial subdural hematoma: causal relationship or coincidence? Case report. J Neurosurg 2004;100(4):372–4.
• Yang MS, Tung YW, Yang TH, et al. Spontaneous spinal and intracranial subdural hematoma. J Formos Med Assoc 2009;108(3):258–61.
• Gilad R, Fatterpekar GM, Johnson DM,et al. Migrating subdural hematoma without subarachnoid hemorrhage in the case of a patient with a ruptured aneurysm in the intrasellar anterior communicating artery. American Journal of Neuroradiology 2007;28(10): 2014–16.
• Moscovici S, Paldor I, Ramirez de Noriega F, et al. Do cranial subdural hematomas migrate to the lumbar spine? J Clin Neurosci 2011;18(4):563-5.
• Li CH, Yew AY, Lu DC. Migration of traumatic intracranial subdural hematoma to lumbar spine causing radiculopathy. Surgical Neurology International 2013;19(4): 81
• Shiller F, Neligan G, Budtz-Olsen O. Surgery in hemophilia : A case of spinal subdural hematoma producting paraplegia. Lancet 1948;27(2): 842-5.
• Makiyama Y, Katayama Y, Ueno Y, et al. Acute subdural hematomas spontaneously disappearing within 3 days following closed head injury. Nihon Univ J Med 1985;27: 123-7.
• Fujioka S, Hamada J, Kaku M, et al. Rapid resolution of acute subdural hematoma. Report of two cases. Neurol Med Chir (Tokyo)1990;30(11): 827-31.
• Niikawa S, Sugimoto S, Hattori T, et al.Rapid resolution of acute subdural hematoma. Report of four cases. Neurol Med Chir (Tokyo)1989;29(9): 820-4.
• Kundra SN, Kundra R.Extracranial redistribution causing rapid spontaneous resolution of acute subdural hematoma. Neurol India 2005; 53(1): 124.
• Lou XH, Yang RJ. Spontaneous resolution of acute subdural hematoma in 3 cases. Chin J Traumatol 2000;16: 526.
• Kuroiwa T, Tanabe H, Takatsuka H, et al. Rapid spontaneous resolution of acute extradural and subdural hematomas. J Neurosurg 1993;78(1): 126-8.
• Cohen JE, Eger K, Montero A, et al. Rapid spontaneous resolution of acute subdural hematoma and HIV related cerebral atrophy: case report. Surg Neurol 1998;50(3):241–4.
• Wu MC, Liu JX, Luo GC,et al. Rapid natural resolution of intracranial hematoma. Chin J Traumatol 2004;7(2):96–100.