Rapid spontaneous resolution of an acute extradural haematoma: case report

Ugarriza, L F; Cabezudo, J.M.; Fernández-Portales, I.

doi:10.1080/02688699943150

Cited by 17 publications

(23 citation statements)

References 12 publications

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“…Fifteen cases have been reported in the literature with a resolution less than 24 hours, including our case; these are summarized in Table 1 (2)(3)(4)(5)(6)(7)(8)(9). Of the patients, ten were pediatric (under age 18) and five were adults.…”

Section: Discussionmentioning

confidence: 92%

“…Aoki et al (2) reported that skull fracture has a positive impact on prognosis as it provides a connection between the epicranial and epidural spaces. Two EDH cases with fractures including the external auditory canal have been published in the literature and rapid spontaneous resolution without an increase in intracranial pressure was reported (5,8). However, Gülşen et al (9) reported a 4 year-old with a case of spontaneous resolution without skull fracture.…”

Section: Discussionmentioning

confidence: 99%

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Rapid Spontaneous Resolution of Acute Epidural Hematoma: A Case Report and Review of the Literature

et al. 2016

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Background: Epidural hematomas (EDH) are pathologies in which the early diagnosis and treatment are important. Resolution under 24 hours is very rare. Case Report: An 11-month-old male patient was brought to the emergency department with head trauma from falling out of bed onto his back. There were no neurological deficits, except for the patient being somnolent. Computed tomography (CT) of the patient revealed subgaleal edema in the right parietal region, linear fracture and image consistent with EDH with a thickness of about 9 mm underneath fracture. A control CT was performed after 3 hours as somnolence continued in follow-up of the patient. Hematoma in the epidural region was observed to completely resolve and edema in the subgaleal region was observed to gain hemorrhagic characteristics. Conclusion: In total, 15 cases have been reported, including our case, in the literature with resolution less than 24 hours. Our case has the fourth fastest resolution ever reported in the English literature. We think that the most important factor in the rapid spontaneous resolution is the presence of a connection between the epidural and epicranial space, either through a fracture or cranial sutures

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Rapid Spontaneous Resolution of Acute Epidural Hematoma: A Case Report and Review of the Literature

et al. 2016

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“…The angioblasts form sinusoids that gradually connect with the marginal dural vessels, so blood and blood products can return to the systemic circulation via the permeable membrane of these sinusoids. [1,5,6,[11][12][13] However, such hematoma resolution is reported as longer than three weeks. [6][7][8] Medical treatment, repeated CT scan and close neurological follow-up are essential in the conservative management.…”

Section: Discussionmentioning

confidence: 99%

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

Dolgun

Türkoğlu²,

Kertmen³

et al. 2011

Ulus Travma Acil Cerrahi Derg

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“…1,3,4,[6][7][8]10,11) The hematoma may be forced out of the intracranial region by the high intracranial pressure associated with severe cerebral edema. 6,10) In such patients, outcomes would be poor.…”

Section: Discussionmentioning

confidence: 99%

“…5) Spontaneous rapid (within 24 hours) resolution of EDH via a skull fracture has also been reported in several age groups other than infants. 1,3,4,[6][7][8]10,11) We report the case of an infant showing spontaneous slow drainage of EDH into the subgaleal space through a skull fracture.…”

Section: Introductionmentioning

confidence: 99%

Spontaneous Slow Drainage of Epidural Hematoma Into the Subgaleal Space Through a Skull Fracture in an Infant -Case Report-

Chida

Yukawa

Mase

et al. 2011

Neurol. Med. Chir.(Tokyo)

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A 4-month-old girl fell off a table onto the floor. Computed tomography performed 4 hours after the trauma showed a left parietal epidural hematoma (EDH) with an omega-shaped fracture line in the left parietal region. The EDH was enlarged after another 4 hours. However, the EDH showed drainage into the subgaleal space through the skull fracture 2 days after the trauma and was almost completely discharged into the subgaleal space by 5 days after trauma. Both the EDH and the subgaleal hematoma had resolved completely by 12 days after the trauma. No symptoms or signs were observed during the course. This case suggests that EDH can drain slowly and spontaneously into the subgaleal space through a skull fracture in an infant.

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Rapid spontaneous resolution of an acute extradural haematoma: case report

Abstract: A case of acute extradural haematoma with spontaneous resolution within 6 h of the head injury is presented. The literature is reviewed.

Cited by 17 publications

References 12 publications

Rapid Spontaneous Resolution of Acute Epidural Hematoma: A Case Report and Review of the Literature

Rapid Spontaneous Resolution of Acute Epidural Hematoma: A Case Report and Review of the Literature

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

Spontaneous Slow Drainage of Epidural Hematoma Into the Subgaleal Space Through a Skull Fracture in an Infant -Case Report-

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