Pahapill P A, Lownie S P
Department of Clinical Neurological Sciences, London Health Sciences Centre, University of Western Ontario, London, Canada.
Can J Neurol Sci. 1998 May;25(2):159-63. doi: 10.1017/s0317167100033795.
In cases of acute spontaneous epidural hematoma producing neurological deficits, emergency surgical evacuation is the standard treatment.
Such a case is presented in which complete resolution of neurological deficits occurred without surgical intervention.
This is the fifth reported case of complete recovery in a patient managed conservatively. In most reports, significant and sustained neurological recovery had occurred with 12 hours of impairment of walking.
In cases of acute spontaneous spiral epidural hematoma in which neurological deterioration is followed by early and sustained recovery, non-operative therapy may be considered.
