Rapid spontaneous resolution of acute subdural hematoma and HIV related cerebral atrophy: case report

Cohen, José E.; Eger, K.; Montero, Antonio; Israel, Zvi

doi:10.1016/s0090-3019(97)00026-8

Cited by 31 publications

(27 citation statements)

References 14 publications

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“…Twenty-six cases of ASDH showing rapid spontaneous resolution have been reported since 1985 (Table 1), [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15] and several possible mechanisms for the spontaneous resolution have been proposed. Two mechanisms are dilution of the hematoma by CSF due to tearing of the arachnoid membrane followed by wash out, 1,4,5,8,11,12) and compression of the hematoma by acute brain swelling followed by redistribution. 4,[8][9][10] Previously, a redistributed hematoma has been found on coronal MR imaging.…”

Section: Discussionmentioning

confidence: 99%

“…Two mechanisms are dilution of the hematoma by CSF due to tearing of the arachnoid membrane followed by wash out, 1,4,5,8,11,12) and compression of the hematoma by acute brain swelling followed by redistribution. 4,[8][9][10] Previously, a redistributed hematoma has been found on coronal MR imaging. 8,14) However, the true mechanisms behind the spontaneous resolution of ASDH still remain unknown.…”

Section: Discussionmentioning

confidence: 99%

“…In addition, hematoma compression due to acute brain swelling may be important in the redistributing process. 4,[8][9][10] However, our Case 1 had moderate cerebral atrophy with no sign of acute brain swelling. In our Case 2, osmotherapy was initiated to reduce brain edema, and rapid resolution of subdural hematoma was observed.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8][9][10][11][12] Several hypotheses have been suggested including redistribution or absorption of the hematoma after co-mingling with cerebrospinal fluid (CSF). We recently encountered two cases of spontaneous resolution of ASDH, in which magnetic resonance (MR) imaging clearly demonstrated the redistribution of the hematoma.…”

Section: Introductionmentioning

confidence: 99%

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Rapid Spontaneous Resolution of Acute Subdural Hematoma Occurs by Redistribution. Two Case Reports.

Kato

Tanaka

Matsumura

et al. 2001

Neurol. Med. Chir.(Tokyo)

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Coronal magnetic resonance imaging provided evidence of redistribution during the rapid spontaneous resolution of acute subdural hematoma (ASDH) in two patients. A 79-year-old female was transferred to our hospital after a traffic accident. Computed tomography (CT) on admission demonstrated an ASDH in the right frontal cerebral cortex. CT 12 hours after the accident revealed spontaneous resolution of the ASDH. Coronal magnetic resonance (MR) imaging 3 days after the accident clearly detected a very thin, sharply demarcated layer diffusely covering the cerebral convexity and the middle cranial fossa. A 41-year-old female fell and sustained head trauma with the loss of consciousness. CT on admission demonstrated an ASDH in the left frontal cerebral cortex. CT 12 hours after the accident revealed spontaneous resolution of the ASDH. Coronal MR imaging 3 days after the insult clearly demonstrated the redistribution and dispersal of the hematoma. Although CT showed the disappearance of the hematoma, MR imaging demonstrated redistribution rather than disappearance of the blood in both cases. These cases indicate that spontaneous resolution of ASDH occurs by redistribution and dispersal of the hematoma.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Rapid Spontaneous Resolution of Acute Subdural Hematoma Occurs by Redistribution. Two Case Reports.

Kato

Tanaka

Matsumura

et al. 2001

Neurol. Med. Chir.(Tokyo)

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“…11,15,18,19) Intracranial migration of acute SDH has been documented in some cases. 1,2,8,17) Acute SDH showed gradual sedimentation on the cerebellar tentorial surface and skull base. Spinal SDH with cranial acute SDH could result from this phenomenon.…”

Section: Discussionmentioning

confidence: 99%

Simultaneous Cranial and Spinal Subdural Hematoma-Case Report-

Yamaguchi

Kurisu

Arita

et al. 2005

Neurol. Med. Chir.(Tokyo)

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A 59-year-old male presented with spinal subdural hematoma (SDH) with concomitant cranial chronic SDH manifesting as mild paraparesis and numbness in both lower extremities. Magnetic resonance (MR) imaging showed simultaneous occurrence of cranial and spinal SDHs. The patient was treated conservatively because of poor medical condition and mild neurological symptoms, and recovered well within 1 month. Serial follow-up MR imaging revealed spontaneous resolution of both lesions, with signal intensity changes suggesting the degenerative process of subacute hematoma. The spinal hematoma may have migrated from the cranial lesion. Spinal SDH is a potential sequela of chronic SDH in the cranium.

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Cerebrovascular Disease in HIV-Infected Patients

Moulignier¹

Cardiovascular Disease in AIDS

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Rapid spontaneous resolution of acute subdural hematoma and HIV related cerebral atrophy: case report

Cited by 31 publications

References 14 publications

Rapid Spontaneous Resolution of Acute Subdural Hematoma Occurs by Redistribution. Two Case Reports.

Rapid Spontaneous Resolution of Acute Subdural Hematoma Occurs by Redistribution. Two Case Reports.

Simultaneous Cranial and Spinal Subdural Hematoma-Case Report-

Cerebrovascular Disease in HIV-Infected Patients

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