Travmatik akut subdural hematomun hızlı rezolüsyonu: olgu sunumu

Abstract

Akut travmatik subdural hematom nöroşirurji pratiğinde travma sonrası hastalarda görülen önemli bir morbitide ve mortalite sebebidir. Nörolojik kusur varlığında, acil cerrahi tedavi düşünülmelidir. Diğer yandan nörolojik tablonun daha iyi olduğu, dikkatli seçilmiş bazı hastalarda ise cerrahi girişim her zaman gerekmeyebilir. Yakın takip ile akut travmatik subdural hematomlarda spontan hızlı rezolüsyonun olabileceği bildirilmiştir. Boks müsabakasında yüzüne aldığı darbe sonrası akut travmatik subdural hematom tanısı konan hastanın 20. saat kontrol tomografisinde subdural hematomun tamamen gerilediği görüldü. Akut travmatik subdural hematomun hızlı rezolüsyonu için literatürde çeşitli mekanizmalar ve prediktif bulgular öne sürülmüştür fakat patofizyolojiyi açıklamada ileri çalışmalara ihtiyaç duyulmaktadır.

Keywords

• Akut subdural hematom,hızlı rezolüsyon,spor travmasI

Rapid resolution of acute traumatic subdural hematoma: case report

Abstract

In neurosurgical practice, acute traumatic subdural hematoma is frequent cause of mortality and morbidity on traumatic patient. At presence of neurological defficits, immediate surgical intervention must be considered. On the other hand sometimes surgical intervention does not necessery at carefully elected cases which have relatively good neurological condition. As some researches showed it is possible to spontaneous rapid resolution on acute traumatic subdural hematomas under close follow-up. A patient has got trauma on his face in a box match diagnosed as acute traumatic subdural hematoma. The subdural hematoma completelly regressed at control cranial tomography imaging after 20 hours of trauma. Various mechanism and predictive symptoms about rapid resolution of acute traumatic subdural hematoma put forwarded in literature but further studies still needed to explain true pathophysiology.

Keywords

• Acute subdural hematoma,rapid resolution,sport trauma

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