Rapid resolution of acute subdural hematoma is rare. Delayed traumatic intracerebral hematomas following medical or surgical treatment of increased intracranial pressure have also been reported. Coexistence of a quickly resolving acute subdural hematoma and a delayed traumatic intracerebral hemorrhage has not been reported before. A 13-month-old boy was admitted to our emergency department after a car accident. On CT, a thin acute subdural hematoma on the right frontotemporal region and a small epidural hematoma on the left frontal region could be seen. On 24-hour follow-up CT, the right subdural hematoma was found to be less dense but larger than it had been before. At 36 h after hospitalization, CT showed that the right acute subdural hematoma had completely disappeared; however, a delayed traumatic intracerebral hematoma on the left occipital region was identified. We think that the mechanism involved in the development of a delayed intracerebral hematoma in our case was similar to the one causing delayed traumatic intracerebral hematoma after treatment for increased intracranial pressure.

Keywords:
Delayed traumatic intracerebral hemorrhage, Subdural hematoma
1.
Aoki N: Rapid resolution of acute epidural hematoma. J Neurosurg 1988;68:149–151.
2.
Samudrala S, Cooper PR: Traumatic intracranial hematomas; in Wilkins RH, Rengachary SS (eds): Neurosurgery, vol 2. New York, McGraw-Hill, 1996, pp 2797–2807.
3.
Nagao T, Aoki N, Mizutani H, Kitamura K: Acute subdural hematoma with rapid resolution in infancy: Case report. Neurosurgery 1986;19:465–467.
4.
Polman CH, Gijsbers CJ, Heimans JJ, Ponssen H, Valk J: Rapid spontaneous resolution of an acute subdural hematoma. Neurosurgery 1986;19:446–448.
5.
Kuroiwa T, Tanabe H, Takatsuka H, Aral M, Sakal N, Nagasawa S, Ohta T: Rapid spontaneous resolution of acute extradural and subdural hematomas. J Neurosurg 1993;78:126–128.
6.
Matsuyama T, Shimomura T, Okumura Y, Sakaki T: Rapid resolution of symptomatic acute subdural hematoma: Case report. Surg Neurol 1997;48:193–196.
7.
Smith WP Jr, Batnitzky S, Rengachary SS: Acute isodense subdural hematomas: A problem in anemic patients. AJR Am J Roentgenol 1981;136:543–546.
8.
Fukamachi A, Kazuyuki K, Yoshishige N, Shuzoh M, Kunimine H, Wakao T: The incidence of delayed traumatic intracerebral hematoma with extradural hemorrhages. J Trauma 1985;25:145–149.
9.
Bullock R, Golek J, Blake G: Traumatic intracerebral hematoma – which patients should undergo surgical evacuation? CT scan features and ICP monitoring as a basis for decision making. Surg Neurol 1989;32:181–187.
10.
Fukamachi A, Nagaseki Y, Kohno K, Wakao T: The incidence and developmental process of delayed traumatic intracerebral haematomas. Acta Neurochir (Wien) 1985;74:35–39.
11.
Kaufman HH, Moake JL, Olson JD, Miner ME, DuCret RP, Pruessner JL, Gildenberg PL: Delayed and recurrent intracranial hematomas related to disseminated intravasculear clotting and fibrinolysis in head injury. Neurosurgery 1980;7:445–449.
© 2004 S. Karger AG, Basel
2005
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.