Spontaneous resolution of epidural hematomas

Report of two cases

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✓ Two cases of traumatic epidural hematomas are presented. Both patients were minimally symptomatic, and neither required surgical intervention. It is suggested that the use of computerized tomography in head trauma will reveal a new class of epidural hematoma patients who may be treated conservatively.

Article Information

Address reprint requests to: David Weaver, M.D., Department of Neurological Surgery, University of Virginia Medical Center, Charlottesville, Virginia 22908.

© AANS, except where prohibited by US copyright law.

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Figures

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    Case 1. Computerized tomography scan 24 hours after injury showing a left epidural hematoma with a 3-mm shift and left lateral ventricular effacement.

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    Case 1. Repeat computerized tomography. Left Pair: Scan on the 17th postinjury day demonstrating spontaneous resolution of the left epidural hematoma. Right Pair: There is complete resolution of the left epidural hematoma by Day 30 after injury.

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    Case 2. Computerized tomography scan on the day of admission showing a right-sided epidural hematoma with a 4- to 4.5-mm shift from right to left.

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    Case 2. Repeat computerized tomography scans. Left Pair: One week after admission, the epidural hematoma persists in the right temporoparietal region but with less right-to-left shift. Right Pair: Seven weeks after injury, there is complete resolution of the epidural hematoma.

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