Spontaneous Resolution of Acute Subdural Hematoma in a Patient with Thrombocytopenia: A Blessing in Disguise

Abstract

Acute subdural hematoma (SDH) constitutes one of the most common emergencies in neurosurgery and its spontaneous resolution is an uncommon phenomenon. Several theories have been described to explain this phenomenon including redistribution of subdural blood, dilution by cerebrospinal fluid, and brain atrophy. Rapid resolution of acute SDH related to thrombocytopenia is a rare phenomenon. We report a case of a patient who showed rapid resolution of acute SDH with thrombocytopenia and also discuss such a rare case with speculation of the thrombocytopenia as a factor to promote this phenomenon.

Keywords

subdural hematoma - thrombocytopenia - intracerebral hematoma - hypocoagulable - redistribution

Note

This paper was presented as a poster at SGPGI Neurosurgery Update NEUROTRAUMA at SGPGIMS Lucknow, UP, India, on December 17, 2022.

Publikationsverlauf

Artikel online veröffentlicht:
04. Juni 2024

• References

• 1 Ahn ES, Smith ER. Acute clival and spinal subdural hematoma with spontaneous resolution: clinical and radiographic correlation in support of a proposed pathophysiological mechanism. Case report. J Neurosurg 2005; 103 (2, suppl): 175-179
• 2 Bortolotti C, Wang H, Fraser K, Lanzino G. Subacute spinal subdural hematoma after spontaneous resolution of cranial subdural hematoma: causal relationship or coincidence? Case report. J Neurosurg 2004; 100 (4, suppl Spine): 372-374
• 3 Kapsalaki EZ, Machinis TG, Robinson III JS, Newman B, Grigorian AA, Fountas KN. Spontaneous resolution of acute cranial subdural hematomas. Clin Neurol Neurosurg 2007; 109 (03) 287-291
• 4 Watanabe A, Omata T, Kinouchi H. Rapid reduction of acute subdural hematoma and redistribution of hematoma: case report. Neurol Med Chir (Tokyo) 2010; 50 (10) 924-927
• 5 Shin DW, Choi CY, Lee CH. Spontaneously rapid resolution of acute subdural hemorrhage with severe midline shift. J Korean Neurosurg Soc 2013; 54 (05) 431-433