Rapid resolution of acute epidural hematoma: case report and review of the literature

Dolgun, Habibullah; Türkoğlu, Erhan; Kertmen, Hayri; Yı́lmaz, Erdal; Ergun, Behzat Ruchan; Şekerci, Zeki

doi:10.5505/tjtes.2011.46704

Cited by 17 publications

(20 citation statements)

References 13 publications

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“…Aoki et al (2) reported that skull fracture has a positive impact on prognosis as it provides a connection between the epicranial and epidural spaces. Two EDH cases with fractures including the external auditory canal have been published in the literature and rapid spontaneous resolution without an increase in intracranial pressure was reported (5,8). However, Gülşen et al (9) reported a 4 year-old with a case of spontaneous resolution without skull fracture.…”

Section: Discussionmentioning

confidence: 97%

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Rapid Spontaneous Resolution of Acute Epidural Hematoma: A Case Report and Review of the Literature

et al. 2016

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Background: Epidural hematomas (EDH) are pathologies in which the early diagnosis and treatment are important. Resolution under 24 hours is very rare. Case Report: An 11-month-old male patient was brought to the emergency department with head trauma from falling out of bed onto his back. There were no neurological deficits, except for the patient being somnolent. Computed tomography (CT) of the patient revealed subgaleal edema in the right parietal region, linear fracture and image consistent with EDH with a thickness of about 9 mm underneath fracture. A control CT was performed after 3 hours as somnolence continued in follow-up of the patient. Hematoma in the epidural region was observed to completely resolve and edema in the subgaleal region was observed to gain hemorrhagic characteristics. Conclusion: In total, 15 cases have been reported, including our case, in the literature with resolution less than 24 hours. Our case has the fourth fastest resolution ever reported in the English literature. We think that the most important factor in the rapid spontaneous resolution is the presence of a connection between the epidural and epicranial space, either through a fracture or cranial sutures

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Section: Discussionmentioning

confidence: 97%

“…Fifteen cases have been reported in the literature with a resolution less than 24 hours, including our case; these are summarized in Table 1 (2)(3)(4)(5)(6)(7)(8)(9). Of the patients, ten were pediatric (under age 18) and five were adults.…”

Section: Discussionmentioning

confidence: 99%

Rapid Spontaneous Resolution of Acute Epidural Hematoma: A Case Report and Review of the Literature

et al. 2016

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“…Spontaneous resolution of EDH has been reported in all age groups. 5,9,14 Usually, the spontaneous resolution takes place in weeks and rarely in days, 2-4,9,14-16 but in rare circumstances the EDH can resolve within hours after trauma. 5,[8][9][10]14,17,18 The mechanisms responsible for the spontaneous resolution of the EDH in acute stage are entirely different than that of chronic resolution.…”

Section: Discussionmentioning

confidence: 99%

“…5,9,14 Usually, the spontaneous resolution takes place in weeks and rarely in days, 2-4,9,14-16 but in rare circumstances the EDH can resolve within hours after trauma. 5,[8][9][10]14,17,18 The mechanisms responsible for the spontaneous resolution of the EDH in acute stage are entirely different than that of chronic resolution. 5,9,14,[17][18][19] The mechanism behind chronic resolution of EDH is that there is formation of fibrovascular neomembrane and granulation tissue, acting as a semipermeable membrane like absorbing structure through which there is transfer of the clot into diploic bone or extracranial space through the fractures.…”

Section: Discussionmentioning

confidence: 99%

“…It has been estimated that acute epidural hematoma (EDH) accounts for 1.5% of patients treated for traumatic brain injury and the lesion can be potentially fatal, and urgent surgical intervention is recommended. [1][2][3][4][5][6][7] However, it has been increasingly recognized that there is a subgroup of patients, where the EDH disappeared rapidly without surgical evacuation. 1,4,5,[8][9][10][11][12][13] In present article, we report a case of an elderly gentleman whose follow-up computed tomography (CT) scan showed reduction in the size of acute EDH and review the relevant literature.…”

Section: Introductionmentioning

confidence: 99%

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Spontaneous Decompression of Extradural Hematoma Through Skull Fracture

2014

Panamerican Journal of Trauma, Critical Care &Amp; Emergency Surgery

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It has been increasingly recognized that there is a subgroup of patients, the extradural hematoma can disappear rapidly without surgical evacuation. In present, we report a case of 65-year-old gentleman whose follow-up computed tomography scan, showed reduction in the size of acute epidural hematoma and review the relevant literature. However, we need to remember if there is no improvement in the neurological status of the patient, a follow-up scan still is needed to assess the size of the hematoma.

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