AI Article Synopsis
- Epidural hematoma (EDH) can be serious but may sometimes resolve on its own; however, it can occasionally progress to a chronic state instead of disappearing completely.
- A 41-year-old man experienced an acute EDH due to a partial rupture of the sagittal sinus, had surgery, but later developed chronic EDH in the same area.
- Despite many EDH cases resolving without intervention, medical professionals should remain vigilant, especially in younger patients, as some EDHs can become chronic and necessitate further surgical intervention.
Article Abstract
Epidural hematoma (EDH) can sometimes be life-threatening, although small-volume EDHs can resolve spontaneously like other intracranial hematomas. However, in rare cases, EDH can transform into a chronic form instead of disappearing. In contrast to subdural hematoma, there is no agreed-upon definition or treatment of chronic EDH. A 41-year-old male patient with acute EDH in the bilateral paravertical area due to partial rupture of the sagittal sinus was operated first, and then remnant contralateral hematoma was treated conservatively. One month after surgery, he showed hemiparesis, and brain imaging revealed chronic EDH at the location of the remnant acute hematoma. We performed surgery again to treat chronic EDH through a large craniotomy. Although many cases of EDH are self-limited, clinicians must keep in mind that some cases of EDH, especially those of venous origin and arising in young people, can become chronic and require surgical treatment.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11309356 | PMC |
| http://dx.doi.org/10.20408/jti.2021.0036 | DOI Listing |
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