Spontaneous resolution of chronic subdural hematoma: Does only the size matter?

Chronic subdural hematomas (CSDHs) usually occur late in adults and older after mild head trauma. Surgical intervention is the first treatment option in CSDH with conservative management being adopted in few cases. We report a case of a 71-year-old man who presented a spontaneous resolution of a lar...

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Bibliographic Details
Published inSurgical neurology international Vol. 10; p. 194
Main Authors Junior, Messias Gonçalves Pacheco, Pessoa, Bruno Lima, Landeiro, Jose Alberto, de Abreu Macedo, Pedro Henrique, Leite, Marco Antônio Araújo
Format Journal Article
LanguageEnglish
Published United States Scientific Scholar 04.10.2019
Subjects
Case Report
Chronic subdural hematoma
Nonsurgical treatment
Spontaneous resolution
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Summary:Chronic subdural hematomas (CSDHs) usually occur late in adults and older after mild head trauma. Surgical intervention is the first treatment option in CSDH with conservative management being adopted in few cases. We report a case of a 71-year-old man who presented a spontaneous resolution of a large CSDH. He presented with a difficulty of speech and an ataxic gait. Head (computed tomography scan) showed a low-density lesion located in the right frontal-temporal-parietal region. In this report, we discuss the spontaneous resolution of a large CSDH in elderly patients, without surgical intervention. Gradually, several successful nonsurgical therapies for the treatment of these hematomas are reported, although further studies are essential to establish the role of these nonsurgical treatments of CSDHs.
ISSN:2229-5097
2152-7806
2152-7806
DOI:10.25259/SNI_58_2019