Fluctuation of intra-parenchymal cerebral pressure may drive the rapid spontaneous resolution of acute subdural hematoma.

Abstract:

:Acute subdural hematoma (ASDH) is a severe insult with a high mortality rate, and emergent surgical evacuation is recommended in the vast majority of such cases. Generally, resolution of the hemorrhage requires weeks and months in patients treated conservatively. However, numerous cases of rapid spontaneous resolution of ASDH, occurring within 72h after the trauma, have been reported to date in the literature. Several possible hypotheses have been suggested, primarily involving redistribution and dilution, or washing out the ASDH. In this study, we present the relevant images of such a case, review the mechanisms of the rapid spontaneous resolution in the literature, and also propose a new hypothesis to explain the occurrence of the rapid spontaneous resolution of ASDH. We indicate that the fluctuation of intra-parenchymal cerebral pressure that drives the rapid spontaneous resolution of ASDH.

journal_name

Med Hypotheses

journal_title

Medical hypotheses

authors

Liu B,Zhuang Z,Luo J

doi

10.1016/j.mehy.2013.05.019

subject

Has Abstract

pub_date

2013-08-01 00:00:00

pages

159-62

issue

2

eissn

0306-9877

issn

1532-2777

pii

S0306-9877(13)00248-X

journal_volume

81

pub_type

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