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2020•Neurosurgery Cases and ReviewsOpen access

Spontaneous Resolution of Sub-Acute Subdural Haematoma

Sharma Krishan Kumar, Ali Asgar

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Abstract

As per Guidelines for surgical management of Traumatic Brain Injury by Brain Trauma Foundation & The Congress of Neurological surgeons, surgery is indicated in Acute subdural haematoma if CT scan shows midline shift > 5 mm, or haematoma thickness > 10 mm regardless of patient's Glasgow coma scale score. However, nothing specified separately for sub-acute subdural haematoma. Mostly same criteria are being followed for selecting patients for surgery in sub-acute and chronic subdural haematoma. Such patient of sub-acute subdural haematoma, whose CT scan head shows midline shift > 5 mm, or haematoma thickness > 10 mm, presented here kept on clinico-radiological assessment showed complete resolution.

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As per Guidelines for surgical management of Traumatic Brain Injury by Brain Trauma Foundation & The Congress of Neurological surgeons, surgery is indicated in Acute subdural haematoma if CT scan shows midline shift > 5 mm, or haematoma thickness > 10 mm regardless of patient's Glasgow coma scale score. However, nothing specified separately for sub-acute subdural haematoma. Mostly same criteria are being followed for selecting patients for surgery in sub-acute and chronic subdural haematoma. Such patient of sub-acute subdural haematoma, whose CT scan head shows midline shift > 5 mm, or haematoma thickness > 10 mm, presented here kept on clinico-radiological assessment showed complete resolution.

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Available abstract

As per Guidelines for surgical management of Traumatic Brain Injury by Brain Trauma Foundation & The Congress of Neurological surgeons, surgery is indicated in Acute subdural haematoma if CT scan shows midline shift > 5 mm, or haematoma thickness > 10 mm regardless of patient's Glasgow coma scale score. However, nothing specified separately for sub-acute subdural haematoma. Mostly same criteria are being followed for selecting patients for surgery in sub-acute and chronic subdural haematoma. Such patient of sub-acute subdural haematoma, whose CT scan head shows midline shift > 5 mm, or haematoma thickness > 10 mm, presented here kept on clinico-radiological assessment showed complete resolution.

Key concepts: Subdural haematoma, Medicine, Glasgow Coma Scale, Midline shift, Acute subdural hematoma, Surgery, Radiological weapon, Coma (optics)

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