Hanefi YILDIRIM, Tülin ÖZTÜRK, Meltem ESEN

Akut sbdural hematomun spontan rezolüsyon ve redüstirbüsyonu: BT ve MR bulguları

Akut subdural hematom (ASDH) nöroşirurji acillerinden biridir. ASDH yüksek mortalite oranı ile ciddi bir travma sekelidir. ASDH’un hızlı rezolüsyon ve redüstirbüsyonun gerçek insidansı bilinmemektedir. Akut subdural hematomun spontan rezolüsyon ve redüstirbüsyonu nadirdir ve mekanizması henüz anlaşılamamıştır. Bu çalışmayı sunmaktaki amacımız; 68 yaşında erkek hastanın travma sonucu gelişen interhemisferik seviyede subfalsin yerleşimli akut subdural hematomun MR ve BT ile rezolüsyon ve redüstirbüsyonunu literatür ışığında ortaya koymaktır.

Spontaneous resolution and redistribution of acute subdural hematoma : CT and MRI findings

Acute subdural hematoma (ASDH) is a neurosurgical emergency. ASDH is a sequele of trauma with high mortality rate. The true incidence of rapid resolution and redistribution of ASDH is underestimated. Spontaneous resolution and redistribution of acute subdural hematoma is extremely rare and the mechanisms are still unclear. In this study we discussed resolution and redistribution of acute subdural hematoma mechanisms and also review the literature. We show CT and MRI findings of 68 years old male patient with acute subdural hematoma which has been after trauma.

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1. Petridis AK, Dörner L, Doukas A, et al. Acute subdural hematoma in the elderly; clinical and CT factors influencing the surgical treatment decision. Cen Eur Neurosurg 2009; 70: 73–78.
2. Cem AG, İplikçioğlu AC, Coşar M, et al. Rapidly resolution of interhemisferik acute subdural hematoma. Turkish Neurosurgery 2005; 15: 150-156.
3. Berker M, Gulsen S, Ozcan OE. Ultra rapid spontaneous resolution of acute posttraumatic subdural hematomas in patient with temporal linear fracture. Acta Neurochir (Wien) 2003; 145: 715-717.
4. Tsui EYK, Ma KF, Cheung YK, et al. Rapid spontaneous resolution and redistribution of acute subdural hematoma in a patient with chronic alcoholism. Eur J Radiol 2000; 36: 53- 57.
5. Aoki N. Acute subdural hematoma with rapid resolution. Acta Neurochir (Wien) 1990; 103: 76-78.
6. Fujioka S, Hamada J, Kaku M, Ushio Y. Rapid resolution of acute subdural hematoma. Neurol Med Chir (Tokyo) 1990; 30: 827-831.
7. İplikcioğlu AC, Bayar MA, Kokes F, Doğanay S, Gökçek C. Interhemispheric subdural hematomas. Bri J Neurosurg 1994; 8: 627-631.
8. Cohen JH, Eger K, Montero A, Israel Z. Rapid spontaneous resolution of acute subdural hematoma and HIV related cerebral atrophy. Surg Neurol 1998; 50: 241-244.
9. Kuroiwa T, Tanabe H, Takatsuka H, Arai M, Nobuyoshi S. Rapid spontaneous resolution of acute extradural and subdural hematomas. J Neurosurg 1993; 78: 126-128.
10. Osborn AG. In.Diagnostic Neuroradiology, Mosby, St. Louis, MO 1994; 205-207.
11. Matsuyama T, Shimomura T, Okumura Y, Sakaki T. Rapid resolution of symptomatic acute subdural hematoma. Surg Neurol 1997; 48: 193-196.
12. Kato N, Tsunoda T, Matsumura A, Yanaka K, Nose T. Rapid spontaneous resolution of acute subdural hematoma occurs by redistribution. Neurol Med Chir (Tokyo) 2001; 41: 140-143.
13. Suzuki Y, Kawamata T, Matsumoto H, Kunii N, Matsumoto K. A resolving sign of acute subdural hematoma. No Shinkei Geka 1998; 26: 1025-1029.
14. Abe T, Imaizumi Y, Mukasa A, Sashida J, Kawamoto S. Acute subdural hematoma with rapid resolution. No Shinkei Geka 1999; 8: 675-679.
15. Imai K. Rapid spontaneous resolution of signs of intracranial herniation due to subdural hematoma. Neurol Med Chir (Tokyo) 2003; 43: 125-129.
16. Makiyama Y, Katayama Y, Ueno Y, KoikeY, Tsubokawa T. Acute subdural hematomas spontaneously disappearing within 3 days following closed head injury. Nihon Univ J Med 1985; 27: 123-127.
17. Polman CH, Gijsbers CJ, Heimans JJ, Ponssen H, Valk J. Rapid spontaneous resolution of an acute subdural hematoma. Neurosurgery 1986; 19: 446-448.
18. Joki T, Hashimato T, Akachi K, et al. Rapid spontaneous resolution of acute subdural hematoma. No Shinkei Geka 1992; 20: 915-919.
19. Nagao T, Aoki N, Mizutani H, Kitamura K. Acute subdural hematoma with rapid resolution in infancy. Neurosurgery 1986; 19: 465-467.
20. Kundra SN, Kundra R. Extracranial redistribution causing rapid spontaneous resolution of acute subdural hematoma. Neurol India 2005; 53: 124.