Göksu Ethem, Akyüz Mahmut, Uçar Tanju, Kazan Saim
Department of Neurosurgery, Akdeniz University Faculty of Medicine, Antalya, Turkey.
Ulus Travma Acil Cerrahi Derg. 2009 Jan;15(1):95-8.
Spontaneous resolution of a chronic subdural hematoma has been reported rarely in the literature. We present herein the case of a 35-year-old patient with spontaneous resolution of a large chronic subdural hematoma, the volume of which was measured as approximately 76.5 ml on magnetic resonance imaging. No pathology was determined on neurological examination. Neither cerebral angiography nor EEG showed any abnormality. We discuss the possible relation between mechanisms of physio-pathogenesis and spontaneous resolution of chronic subdural hematomas, and also present the patient characteristics together with the other literature data.
慢性硬膜下血肿的自发消退在文献中鲜有报道。我们在此报告一例35岁患者,其巨大慢性硬膜下血肿自发消退,磁共振成像测量血肿体积约为76.5毫升。神经学检查未发现病理改变。脑血管造影和脑电图均未显示任何异常。我们讨论了慢性硬膜下血肿的生理病理发生机制与自发消退之间的可能关系,并结合其他文献数据介绍了该患者的特征。