J Korean Neurosurg Soc.  2013 Nov;54(5):431-433. 10.3340/jkns.2013.54.5.431.

Spontaneously Rapid Resolution of Acute Subdural Hemorrhage with Severe Midline Shift

  • 1Department of Neurosurgery, Ilsan Paik Hospital, College of Medicine, Inje University, Goyang, Korea. cychoi@paik.ac.kr


Acute subdural hematoma is usually a neurological emergency that requires hematoma evacuation or close observation. However, spontaneous resolutions of an acute subdural hematoma without surgical interventions have been reported rarely. We report on a case who showed rapid resolution of an acute subdural hematoma with neurological improvement and review the relevant literatures.


Rapid; Resolution; Subdural hemorrhage

MeSH Terms

Hematoma, Subdural*
Hematoma, Subdural, Acute


  • Fig. 1 Brain CT reveals an acute subdural hematoma of 10 mm thickness with midline shift of 15 mm in the right frontotemporoparietal region. A band of low density in the subdural hematoma is seen.

  • Fig. 2 Follow-up brain CT shows a decrease of acute subdural hematoma (8 mm thickness) and improvement of midline shift (10 mm).

  • Fig. 3 Brain CT shows a remarkable resolution of acute subdural hematoma and recovery of midline shift (A). Subdural hematomas in around falx, tentorium, posterior fossa, upper cervical spinal canal are not found on the coronal (B) and sagittal brain CT (C).

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Rapid Spontaneous Resolution of Acute Subdural Hematoma in a Patient with Liver Cirrhosis
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