Ulus Travma Acil Cerrahi Derg. 2011; 17(3): 283-285 | DOI: 10.5505/tjtes.2011.46704

Hýzlý rezolüsyon gösteren akut epidural hematom: Olgu sunumu ve literatürün deðerlendirilmesi

Habibullah Dolgun¹, Erhan Turkoglu¹, Hayri Kertmen¹, Erdal Resit Yilmaz¹, Behzat Ruchan Ergun², Zeki Sekerci^1
1S.b. Dýskapý Yýldýrým Beyazýt Eðitim Ve Arastýrma Hastanesi 1. Nöroþirurji Kliniði, Ankara
²Abant Izzet Baysal Üniversitesi Týp Fakultesi Beyin Cerrahi Anabilim Dalý, Bolu

Akut epidural hematomlar ciddi ve aðýr klinik tablolardýr. Erken taný ve cerrahi boþaltma standart tedavi yaklaþýmýdýr. Aksi takdirde klinik tabloda hýzla bozulma ve ölüm riski taþýr. Asemptomatik küçük bir hasta grubu, yakýn nörolojik ve radyolojik takip ile konservatif olarak tedavi edilebilir. Bu yazýda, 3 saat gibi kýsa bir süre içerisinde rezolüsyon gösteren travmatik sað temporal akut epidural hematom olgusu sunuldu. Bu olgu saatler içerisinde hýzlý rezolüsyon görülen nadir olgulardan biridir. Çeþitli rezolüsyon mekanizmalarý literatür verileri ýþýðýnda tartýþýlmýþtýr.

Anahtar Kelimeler: Erken rezolüsyon, kraniyal epidural hematom; kafatasý kýrýðý.

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Rapid resolution of acute epidural hematoma: case report and review of the literature

Habibullah Dolgun¹, Erhan Turkoglu¹, Hayri Kertmen¹, Erdal Resit Yilmaz¹, Behzat Ruchan Ergun², Zeki Sekerci^1
1Ministry Of Health Diskapi Yildirim Beyazit Research And Educational Hospital 1st Neurosurgery Clinic, Ankara, Turkey
²Department Of Neurosurgery, Faculty Of Medicine, Abant Izzet Baysal University, Bolu, Turtkey

Acute epidural hematomas present a serious and urgent condition. Standard management is early diagnosis and immediate surgical evacuation. Otherwise, there is a high risk of quick deterioration and death. Only patients with small asymptomatic epidural hematomas can be managed conservatively with close observation. We present a case of traumatic right temporal epidural hematoma. This is one of the rare cases of rapid spontaneous resolution of epidural hematomas within hours. Various possible mechanisms to explain the rapid resolution are discussed together with a review of the literature regarding the conservative treatment of epidural hematoma.

Keywords: Early resolution, cranial epidural hematoma; skull fracture.

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