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Rapid Redistribution of an Acute Traumatic Epidural Hematoma in a Patient with Invasive Skull Cancer
Hyunnyung Lee,황선철,이아름,김찬규,임수빈 대한신경손상학회 2018 Korean Journal of Neurotrauma Vol.14 No.2
The rapid spontaneous resolution of an acute epidural hematoma (EDH) has rarely been reported. A possible mechanism ofspontaneous resolution is egress of the hematoma into the subgaleal space through a skull fracture. We report a case of rapid redistribution of an acute EDH in a 37-year-old man who had a malignant peripheral nerve sheath tumor of the skull andwho slipped and fell when going to the bathroom. A huge EDH without a skull fracture developed in the left parieto-occipital area. The acute EDH was completely alleviated and a newly developed intracerebral hematoma was found on a braincomputed tomography scan that was acquired the day after the trauma. Given these fndings, a fractured skull and increased pressure in the intradural area may have been the mechanisms underlying the redistribution of the hematoma