Punia Prashant, Chugh Ashish, Gotecha Sarang, Singh Neeraj, Gaud Jayant, Rege Ishant, Aziz Ramis Abdul
Department of Neurosurgery, Dr. D. Y. Patil Medical College and Hospital, Pune, Maharashtra, India.
J Emerg Trauma Shock. 2024 Oct-Dec;17(4):245-247. doi: 10.4103/jets.jets_46_24. Epub 2024 Aug 30.
Acute subdural hematoma (ASDH) is a type of intracranial hemorrhage and is due to the collection of blood below the inner layer of the dura but external to the brain and arachnoid membrane. It tends to occur in the temporal parietal regions. Early intervention is the key for better outcome of the patient. Management depends on neurological status and imaging. Large SDH collects along the convexity of the brain causing compression over the brain stem with midline shift. In cases of conservatively managed ASDH, spontaneous resolution usually takes weeks to months depending on the size of the bleed. In rare cases, spontaneous rapid resolution of the SDH occurs. So here, we are presenting an 11-month-old baby girl who was brought to our Emergency room/department (ER) with a history of fall and computed tomography scan was suggestion of an ASDH in the left temporoparietal region which resolves on its own in 6 h which is a rare phenomenon and needs to be highlighted.
急性硬膜下血肿(ASDH)是一种颅内出血,是由于血液积聚在硬脑膜内层下方,但在脑和蛛网膜之外。它往往发生在颞顶区。早期干预是患者获得更好预后的关键。治疗取决于神经状态和影像学检查。大量硬膜下血肿沿脑凸面积聚,导致脑干受压并伴有中线移位。在保守治疗的急性硬膜下血肿病例中,根据出血量大小,自发吸收通常需要数周数月时间。在极少数情况下,硬膜下血肿会自发快速吸收。因此,我们在此介绍一名11个月大的女婴,她因跌倒被送至我们的急诊室,计算机断层扫描显示左颞顶区有急性硬膜下血肿,该血肿在6小时内自行消散,这是一种罕见现象,需要引起关注。