RESUMO
Rapid spontaneous resolution of traumatic acute subdural haematomas (ASDH) can occur but is rare. We present an 88-year-old female who presents with a large left acute subdural haematoma (ASDH) measuring 18 mm in thickness with midline shift of 10.7 mm. We managed her conservatively based upon good consciousness level and absent neurological deficits. Repeat computed tomography (CT) the following day demonstrated near complete resolution of the ASDH and midline shift regression; a further CT confirmed resolution. Most patients with large ASDH require surgical evacuation; however, in rare cases, they can resolve spontaneously with extreme rapidity. Conservative management can be a valid option in carefully selected cases.
Assuntos
Tratamento Conservador , Hematoma Subdural Agudo/terapia , Idoso de 80 Anos ou mais , Gerenciamento Clínico , Feminino , Hematoma Subdural Agudo/diagnóstico por imagem , Humanos , Tomografia Computadorizada por Raios XRESUMO
We report an interesting case of a large, rapidly developing cutaneous horn in the temple area of an 86-year-old man who was admitted to a hospital in London. The lesion had been caused by a squamous cell carcinoma. We highlight the historical and pathophysiological aspects of the condition and draw attention to the malignant potential of such lesions.
