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CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(01): 292-294
DOI: 10.4103/ajns.AJNS_173_18
Case Report

Spontaneous resolution of epidural hematoma: A rare case

Srikrishnaditya Manne
Department of Neurosurgery, Gandhi Medical College and Hospital, Secunderabad, Telangana
,
Siddartha Musali
Department of Neurosurgery, Gandhi Medical College and Hospital, Secunderabad, Telangana
,
Prakash Gollapudi
Department of Neurosurgery, Gandhi Medical College and Hospital, Secunderabad, Telangana
,
Ravi Karla
Department of Neurosurgery, Gandhi Medical College and Hospital, Secunderabad, Telangana
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An epidural hematoma is a life-threatening condition which necessitates early surgical intervention. Conservative management is undertaken in smaller hematomas; rarely, a massive hematoma may show spontaneous resolution which can be picked up only by a repeat computed tomography before surgery. Here, we report one such case where we noted a surprisingly rapid resolution of an epidural hematoma, which was relatively a large clot and where the last minute call to have a repeated computed tomography scan changed the line of management altogether from a surgical one to conservative. The patient in this particular case is a 20-year-old male, with a history of fall from height. The initial scan showed a large epidural hematoma which requires surgical evacuation, whereas the subsequent scans showed near-complete resolution and hence was managed conservatively. Rare cases like these should always be kept in mind, and the importance of a repeat scan should never be disregarded.

Key-words:

Computed tomography - epidural hematoma - spontaneous resolution

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Publication History

Article published online:
09 September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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