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Pan African Medical Journal

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Spontaneous resolution of post-traumatic chronic subdural hematoma: a case report

Hakan Yilmaz, Osman Boyali, Ibrahim Burak Atci, Umit Kocaman

Abstract


Chronic subdural hematomas often occurs in late middle and old age following trivial head trauma. Surgical intervention is the first treatment option in chronic subdural hematomas which compressed the cerebral parenchym. Hematoma may be calcified or ossified in untreated patients. Spontaneous resolution of post-traumatic chronic subdural hematoma is a rare event. Spontaneous resolution is rarer if the subdural hematoma is bilateral. In the literature, this condition is reported mostly in patients with idiopathic thrombocytopenic purpura. Here, we present a case of spontaneously resolved post-traumatic bilateral chronic subdural hematoma within a period of one month in a 55-year-old male and we discuss the probable mechanisms of pathophysiology in the spontaneous resolution of chronic subdural hematoma.

Keywords: Antiaggregation therapy, chronic subdural hematoma, spontaneous resolution




http://dx.doi.org/10.11604/pamj.2017.28.167.13944
AJOL African Journals Online