Spontaneous resolution of large non-traumatic bilateral acute-on-chronic subdural hematoma

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D. Adam
D. Iftimie
Gina Burduşa
Cristiana Moisescu

Abstract

Background and importance: Chronic subdural hematomas are a frequently encountered neurosurgical pathology, especially in the elderly. They often require surgical evacuation, but recent studies have shown good results with conservative treatment in selected cases.
Clinical presentation: We report the case of a 72-year old patient that developed large, non-traumatic, bilateral, acute-on-chronic subdural hematoma after repeated abdominal surgery for appendicular carcinoma. He presented an abdominal wound infection and good neurological status (GCS score of 14 points), factors that indicated the delay of surgical intervention. Subsequent clinical and radiological improvement forestalled the operation altogether and he presented complete spontaneous resolution of subdural hematomas at only 5 months after diagnosis.
Conclusion: Although surgical treatment is performed in the majority of chronic subdural hematomas, in clinically and radiologically selected cases, the operation can be avoided. The hematoma can present resolution, either spontaneously or with the help of conservative treatment.

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How to Cite
Adam, D., Iftimie, D., Burduşa, G., & Moisescu, C. (2017). Spontaneous resolution of large non-traumatic bilateral acute-on-chronic subdural hematoma. Romanian Neurosurgery, 31(1), 8–16. Retrieved from https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/964
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Author Biographies

D. Adam

Department of Neurosurgery, “Saint Pantelimon” Clinical Emergency Hospital, Bucharest, ROMANIA
“Carol Davila” University of Medicine and Pharmacy, Bucharest, ROMANIA

D. Iftimie

Department of Neurosurgery, “Saint Pantelimon” Clinical Emergency Hospital, Bucharest, ROMANIA

Gina Burduşa

Department of Neurosurgery, “Saint Pantelimon” Clinical Emergency Hospital, Bucharest, ROMANIA

Cristiana Moisescu

Department of Neurosurgery, “Saint Pantelimon” Clinical Emergency Hospital, Bucharest, ROMANIA

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