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

Acute epidural hematomas present a serious and urgent condition. Standard management is early diagnosis and immediate surgical evacuation. Otherwise, there is a high risk of quick deterioration and death. Only patients with small asymptomatic epidural hematomas can be managed conservatively with clo...

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Published inUlusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES Vol. 17; no. 3; pp. 283 - 285
Main Authors Dolgun, Habibullah, Türkoğlu, Erhan, Kertmen, Hayri, Yılmaz, Erdal Reşit, Ergun, Behzat Ruchan, Sekerci, Zeki
Format Journal Article
LanguageEnglish
Published Turkey 01.01.2011
Subjects
Accidental Falls
Adult
Diagnosis, Differential
Emergency Treatment
Hematoma, Epidural, Cranial - diagnosis
Hematoma, Epidural, Cranial - diagnostic imaging
Hematoma, Epidural, Cranial - surgery
Humans
Male
Tomography, X-Ray Computed
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Summary:Acute epidural hematomas present a serious and urgent condition. Standard management is early diagnosis and immediate surgical evacuation. Otherwise, there is a high risk of quick deterioration and death. Only patients with small asymptomatic epidural hematomas can be managed conservatively with close observation. We present a case of traumatic right temporal epidural hematoma. This is one of the rare cases of rapid spontaneous resolution of epidural hematomas within hours. Various possible mechanisms to explain the rapid resolution are discussed together with a review of the literature regarding the conservative treatment of epidural hematoma.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:1306-696X
1307-7945
DOI:10.5505/tjtes.2011.46704