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Asian J Neurosurg. 2019 Jan-Mar;14(1):292-294. doi: 10.4103/ajns.AJNS_173_18.

Spontaneous Resolution of Epidural Hematoma: A Rare Case.

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Department of Neurosurgery, Gandhi Medical College and Hospital, Secunderabad, Telangana, India.


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.


Computed tomography; epidural hematoma; spontaneous resolution

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