Article Access Statistics | | Viewed | 8194 | | Printed | 176 | | Emailed | 0 | | PDF Downloaded | 142 | | Comments | [Add] | | Cited by others | 19 | |
|

 Click on image for details.
|
|
NEUROIMAGE |
|
|
|
Year : 2005 | Volume
: 53
| Issue : 1 | Page : 124 |
Extracranial redistribution causing rapid spontaneous resolution of acute subdural hematoma
Surinder N Kundra, Raman Kundra
Departments of Neurosurgery and Pediatrics, Shankar Hospital, B-6, Shankar Garden, New Delhi - 110018, India
Date of Acceptance | 05-Nov-2004 |
Correspondence Address: Surinder N Kundra B-6, Shankar Garden, New Delhi - 110 018 India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0028-3886.15083
How to cite this article: Kundra SN, Kundra R. Extracranial redistribution causing rapid spontaneous resolution of acute subdural hematoma. Neurol India 2005;53:124 |
A 3-year-old child presented in a drowsy state following a fall from a height of twelve feet. Initial head Computed Tomographic (CT) scan showed left frontotemporal acute subdural hematoma (ASDH) along with left coronal diastatic fracture with associated scalp hematoma. While awaiting surgery, an unexpected improvement in the child's sensorium was noted within six hours of trauma. A repeat head CT scan showed significant resolution in ASDH with simultaneous increase in size of the overlying scalp hematoma.
Rapid spontaneous 'resolution' of ASDH within a few hours is seen on the CT scan of brain in rare cases. This happens due to pressure-induced intracranial redistribution of hematoma due to brain swelling, elegantly demonstrated by Polman et al[1] by doing an MRI on their patient, and which was subsequently reported by other authors.[2],[3] However, extracranial redistribution of ASDH through a skull fracture has not been demonstrated in any case till date. This is the first such case report to the best of the author's knowledge in which the ASDH seen on CT scan done two hours following head injury [Figure - 1] underwent extracranial redistribution through a probable dural tear and coronal diastatic fracture leading to a corresponding increase in size of the overlying scalp hematoma seen clearly on the CT scan done six hours following head trauma [Figure - 2].
» References | |  |
1. | Polman CH, Gijsbers CJ, Heimans JJ, Possen H, Valk J. Rapid spontaneous resolution of an acute subdural hematoma. Neurosurgery 1986;19:446-8. |
2. | Matsuyama T, Shimomura T, Okumura Y, Sakaki T. Rapid resolution of symptomatic acute subdural hematoma: Case report. Surg Neurol 1997;48:193-6. [PUBMED] [FULLTEXT] |
3. | Tsui EY, Fai MK, Cheung YK, Chan JH, Yuen MK. Rapid spontaneous resolution and redistribution of acute subdural hematoma in a patient with chronic alcoholism. A case report. Eur J Radiol 2000;36:53-7. |
Figures
[Figure - 1], [Figure - 2]
This article has been cited by | 1 |
A calvarial acute subdural hematoma migrating into the spinal canal in a young male |
|
| Vaner Köksal,Bülent Özdemir | | The American Journal of Emergency Medicine. 2015; 33(10): 1537.e1 | | [Pubmed] | [DOI] | | 2 |
The clinical and CT features of rapid spontaneous resolution of traumatic acute subdural hematoma: A retrospective study of 14 cases |
|
| Zerui Zhuang,Jianming Luo,Chugeng Ou,Bin Chen,Bin Liu | | Brain Injury. 2015; 29(10): 1239 | | [Pubmed] | [DOI] | | 3 |
Spontaneous resolution of traumatic acute subdural hematoma with good clinical outcome: A report of two cases |
|
| Vinay Byrappa,Sonia Bansal,Sriganesh Kamath,Gopala Krishna N. Kadarapura | | The Indian Journal of Neurotrauma. 2014; | | [Pubmed] | [DOI] | | 4 |
Fluctuation of intra-parenchymal cerebral pressure may drive the rapid spontaneous resolution of acute subdural hematoma |
|
| Bin Liu,Zerui Zhuang,Jianming Luo | | Medical Hypotheses. 2013; 81(2): 159 | | [Pubmed] | [DOI] | | 5 |
Predictors of rapid spontaneous resolution of acute subdural hematoma |
|
| Kenji Fujimoto,Tadahiro Otsuka,Kimio Yoshizato,Jun-ichi Kuratsu | | Clinical Neurology and Neurosurgery. 2013; | | [Pubmed] | [DOI] | | 6 |
Rapid Resolution of Acute Subdural Hematoma in a Coagulopathic Patient |
|
| Navjot Chaudhary,Daria Krivosheya,Elizabeth Small,Cyril Hsia,Wai Ng,Andrew Leung | | The Canadian Journal of Neurological Sciences. 2013; 40(04): 599 | | [Pubmed] | [DOI] | | 7 |
Rapid resolution of acute subdural hematoma in a coagulopathic patient |
|
| Chaudhary, N. and Krivosheya, D. and Small, E. and Hsia, C. and Ng, W. and Leung, A. | | Canadian Journal of Neurological Sciences. 2013; 40(4): 599-600 | | [Pubmed] | | 8 |
Rapid Spontaneous Reduction of a Huge Intracerebral Hematoma |
|
| Sung Hoon Han,Ho Kook Lee,Jae Gon Moon,Chang Hyun Kim,Tack Geun Cho | | Journal of Cerebrovascular and Endovascular Neurosurgery. 2012; 14(2): 104 | | [Pubmed] | [DOI] | | 9 |
Subarachnoid, subdural and interdural spaces at the clival region: An anatomical study |
|
| Ayberk, G. and Ozveren, M.F. and Aslan, S. and Yaman, M.E. and Yaman, O. and Kayaci, S. and Tekdemir, I. | | Turkish Neurosurgery. 2011; 21(3): 372-377 | | [Pubmed] | | 10 |
Rapid spontaneous resolution of traumatic subdural hematoma [Spontane resolutie van een acuut posttraumatisch subduraal hematoom] |
|
| Vandereyken, F. and Heytens, L. | | Tijdschrift voor Geneeskunde. 2011; 67(18): 892-895 | | [Pubmed] | | 11 |
Rapid Spontaneous Resolution of Traumatic Acute Subdural Hematoma |
|
| Sung Ho Choi,Chan Woo Park,Jae Myung Kim,Eun Young Kim,Chan Jong Yoo,Young Bo Kim,Sang Gu Lee,Cheol Wan Park,Woo Kyung Kim,Uhn Lee | | Journal of Korean Neurotraumatology Society. 2011; 7(1): 47 | | [Pubmed] | [DOI] | | 12 |
Rapid resolution of acute subdural hematoma: A case report and review of literature |
|
| Yad Ram Yadav,Moneet Agarwal,Hemant Namdev,Vijay Parihar | | The Indian Journal of Neurotrauma. 2011; 8(1): 45 | | [Pubmed] | [DOI] | | 13 |
Rapid Reduction of Acute Subdural Hematoma and Redistribution of Hematoma |
|
| Arata WATANABE, Tomohiro OMATA, Hiroyuki KINOUCHI | | Neurologia medico-chirurgica. 2010; 50(10): 924 | | [VIEW] | [DOI] | | 14 |
Spontaneous Rapid Reduction of a Large Acute Subdural Hematoma |
|
| Chul-Hee Lee, Dong Ho Kang, Soo Hyun Hwang, In Sung Park, Jin-Myung Jung, Jong Woo Han | | Journal of Korean Medical Science. 2009; 24(6): 1224 | | [VIEW] | [DOI] | | 15 |
Redistribution of hematoma to spinal subdural space as a mechanism for the rapid spontaneous resolution of posttraumatic intracranial acute subdural hematoma: case report |
|
| Sui To Wong,Ming Keung Yuen,Kam Fuk Fok,Shing Chau Yuen,Kwong Yui Yam,Dawson Fong | | Surgical Neurology. 2009; 71(1): 99 | | [Pubmed] | [DOI] | | 16 |
Redistribution of hematoma to spinal subdural space as a mechanism for the rapid spontaneous resolution of posttraumatic intracranial acute subdural hematoma: case report |
|
| Wong, S.T., Yuen, M.K., Fok, K.F., Yuen, S.C., Yam, K.Y., Fong, D. | | Surgical Neurology. 2009; 71(1): 1-2 | | [Pubmed] | | 17 |
Spontaneous rapid resolution of acute subdural hematoma after head trauma: Is it truly rare? |
|
| L. Wen, W. G. Liu, L. Ma, R. Y. Zhan, G. Li, X. F. Yang | | Irish Journal of Medical Science. 2009; 178(3): 367 | | [VIEW] | [DOI] | | 18 |
Spontaneous resolution of acute cranial subdural hematomas |
|
| E.Z. Kapsalaki,T.G. Machinis,J.S. Robinson,B. Newman,A.A. Grigorian,K.N. Fountas | | Clinical Neurology and Neurosurgery. 2007; 109(3): 287 | | [Pubmed] | [DOI] | | 19 |
Spontaneous resolution of acute cranial subdural hematomas |
|
| Kapsalaki, E.Z., Machinis, T.G., Robinson III, J.S., Newman, B., Grigorian, A.A., Fountas, K.N. | | Clinical Neurology and Neurosurgery. 2007; 109(3): 287-291 | | [Pubmed] | |
|
 |
|
|
|
|