Marcikić Marcel, Hreckovski Boris, Samardzić Josip, Martinović Mirjana, Rotim Kresimir
Division of Neurosurgery, Dr Josip Bencević General Hospital, Slavonski Brod, Croatia.
Acta Clin Croat. 2010 Sep;49(3):331-4.
Spontaneous resolution of post-traumatic chronic subdural hematoma is a very rare and unexpected event. It has been rarely reported in the literature, mostly cases of chronic subdural hematoma resolution in idiopathic thrombocytopenic purpura. Operative procedure is generally considered the treatment of choice for chronic subdural hematoma. We present a rare case, which did not require an open surgery, i.e. a case of post-traumatic chronic subdural hematoma spontaneous resolution in a 76-year-old female having sustained a fall without classic head injury. The possibility of conservative treatment is extremely rare in patients with chronic subdural hematoma, but it should be considered based on the patient's neurological and physical condition.
创伤后慢性硬膜下血肿的自发消退是一种非常罕见且出乎意料的事件。文献中鲜有报道,大多是特发性血小板减少性紫癜中慢性硬膜下血肿消退的病例。手术通常被认为是慢性硬膜下血肿的首选治疗方法。我们报告一例罕见病例,该病例无需开颅手术,即一名76岁女性在未发生典型头部损伤的情况下摔倒后创伤后慢性硬膜下血肿自发消退。对于慢性硬膜下血肿患者,保守治疗的可能性极其罕见,但应根据患者的神经和身体状况予以考虑。