Rapid Spontaneous Resolution of Acute Epidural Hematoma: A Case Report and Review of the Literature
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 we...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2016-06-01
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| Series: | Balkan Medical Journal |
| Subjects: | |
| Online Access: | http://balkanmedicaljournal.org/text.php?lang=en&id=138 |
| _version_ | 1797923444011040768 |
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| author | Fatih Aydemir Melih Çekinmez Özgür Kardeş Feyzi Birol Sarıca |
| author_facet | Fatih Aydemir Melih Çekinmez Özgür Kardeş Feyzi Birol Sarıca |
| author_sort | Fatih Aydemir |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-10T14:46:28Z |
| format | Article |
| id | doaj.art-0947cc93131048f7b9cfc51d45bd0c19 |
| institution | Directory Open Access Journal |
| issn | 2146-3123 2146-3131 |
| language | English |
| last_indexed | 2024-04-10T14:46:28Z |
| publishDate | 2016-06-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Balkan Medical Journal |
| spelling | doaj.art-0947cc93131048f7b9cfc51d45bd0c192023-02-15T16:07:51ZengGalenos Publishing HouseBalkan Medical Journal2146-31232146-31312016-06-0133337337610.5152/balkanmedj.2016.141020Rapid Spontaneous Resolution of Acute Epidural Hematoma: A Case Report and Review of the LiteratureFatih Aydemir0Melih Çekinmez1Özgür Kardeş2Feyzi Birol Sarıca3Department of Neurosurgery, Başkent University School of Medicine, Adana Practice and Research Center, Adana, TurkeyDepartment of Neurosurgery, Başkent University School of Medicine, Adana Practice and Research Center, Adana, TurkeyDepartment of Neurosurgery, Başkent University School of Medicine, Adana Practice and Research Center, Adana, TurkeyDepartment of Neurosurgery, Başkent University School of Medicine, Adana Practice and Research Center, Adana, TurkeyBackground: 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.http://balkanmedicaljournal.org/text.php?lang=en&id=138Epidural hematomaskull fracturespontaneous resolution |
| spellingShingle | Fatih Aydemir Melih Çekinmez Özgür Kardeş Feyzi Birol Sarıca Rapid Spontaneous Resolution of Acute Epidural Hematoma: A Case Report and Review of the Literature Balkan Medical Journal Epidural hematoma skull fracture spontaneous resolution |
| title | Rapid Spontaneous Resolution of Acute Epidural Hematoma: A Case Report and Review of the Literature |
| title_full | Rapid Spontaneous Resolution of Acute Epidural Hematoma: A Case Report and Review of the Literature |
| title_fullStr | Rapid Spontaneous Resolution of Acute Epidural Hematoma: A Case Report and Review of the Literature |
| title_full_unstemmed | Rapid Spontaneous Resolution of Acute Epidural Hematoma: A Case Report and Review of the Literature |
| title_short | Rapid Spontaneous Resolution of Acute Epidural Hematoma: A Case Report and Review of the Literature |
| title_sort | rapid spontaneous resolution of acute epidural hematoma a case report and review of the literature |
| topic | Epidural hematoma skull fracture spontaneous resolution |
| url | http://balkanmedicaljournal.org/text.php?lang=en&id=138 |
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