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Rapid reduction of a large acute subdural hematoma has been frequently reported. In my knowledge, however, it was rarely reported that rapid spontaneous reduction occurred in large volume of spontaneous intracerebral hematoma (sICH). We describe a patient with a rapid spontaneous decrease in the volume of a large hematoma. A 73-year-old man presented semi-comatose mentality. Initial brain computed tomography (CT) revealed the huge sICH. An emergency operation was planned, but was not performed due to the refusal of patient’s family. Therefore, we decided to treat with conservative therapy. However, follow-up brain CT 16 hours after initial scan showed a remarkable reduction of previous sICH. The mechanism involving the spontaneous rapid decrease of the hematoma is presumed to occur through redistribution in brain atrophy, compression effect from the increased intracranial pressure and dilution through a wash out by the cerebrospinal fluid.

권호기사

권호기사 목록 테이블로 기사명, 저자명, 페이지, 원문, 기사목차 순으로 되어있습니다.
기사명 저자명 페이지 원문 목차
Outcome following decompressive craniectomy for malignant middle cerebral artery infarction in patients older than 70 years old Jae Won Yu, Jae-Hyung Choi, Dae-Hyun Kim, Jae-Kwan Cha, Jae-Taeck Huh pp.65-74

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Thecomparative study of microsurgical cerebral aneurysm clip implants: titanium clip vs. stainless steel clip Sung Ho Choi, Cheol Wan Park, Young Bo Kim, Eun Young Kim, Chang Jong You, Woo Kyung Kim pp.79-83

Effectiveness of nicardipine for blood pressure control in patients with subarachnoid hemorrhage Sang Yong Kim, Seong Min Kim, Moon Sun Park, Han Kyu Kim, Ki Seok Park, Seong Young Chung pp.84-89

Clinically significant cardiac arrhythmia in patients with aneurysmal subarachnoid hemorrhage Yeon-Seong Jeong, Hyung-Dong Kim pp.90-94

Delayed symptomatic thromboembolism after unruptured middle cerebral artery aneurysm embolization Hye-Jin Kim, Taek Jun Lee, Sun-il Lee, Sung-Chul Jin pp.95-98

Salvage surgical treatment for failed endovascular procedure of a blood blister-like aneurysm Tack Geun Cho, Sung Nam Hwang, Taek Kyun Nam, Seung Won Park pp.99-103

Rapid spontaneous reduction of a huge intracerebral hematoma Sung Hoon Han, Ho Kook Lee, Jae Gon Moon, Chang Hyun Kim, Tack Geun Cho pp.104-107

Mechanical thrombolysis using coil in acute occlusion of fenestrate M1 segment Byung-Sun Seo, Yoon-Soo Lee, Jeong-Ho Lee, Hyuk-Gee Lee, Kee-Young Ryu, Dong-Gee Kang pp.108-112

참고문헌 (20건) : 자료제공( 네이버학술정보 )

참고문헌 목록에 대한 테이블로 번호, 참고문헌, 국회도서관 소장유무로 구성되어 있습니다.
번호 참고문헌 국회도서관 소장유무
1 Rapid expansion of hypertensive intracerebral hemorrhage. 네이버 미소장
2 Ultra rapid spontaneous resolution of acute posttraumatic subdural hematomas in patient with temporal linear fracture 네이버 미소장
3 Subacute spinal subdural hematoma after spontaneous resolution of cranial subdural hematoma: causal relationship or coincidence? Case report. 네이버 미소장
4 Intracerebral Hematoma: Spontaneous Cure by Drainage into the Middle Ear 네이버 미소장
5 Guidelines for the Management of Spontaneous Intracerebral Hemorrhage 네이버 미소장
6 Defining hematoma expansion in intracerebral hemorrhage: relationship with patient outcomes. 네이버 미소장
7 The Acute Management of Intracerebral Hemorrhage: A Clinical Review 네이버 미소장
8 Rapid spontaneous resolution of signs of intracranial herniation due to subdural hematoma--case report. 네이버 미소장
9 Rapid resolution of traumatic acute subdural hematoma by redistribution 네이버 미소장
10 Rapid disappearance of acute posterior fossa epidural hematoma. 네이버 미소장
11 Rapid spontaneous resolution of acute subdural hematoma occurs by redistribution--Two case reports. 네이버 미소장
12 Extracranial redistribution causing rapid spontaneous resolution of acute subdural hematoma. 네이버 미소장
13 Spontaneous Rapid Reduction of a Large Acute Subdural Hematoma 소장
14 Moon CT, Lim SJ, Yoon SH, Cho J, Chang SK. [Acute expansion of hematoma in Hypertensive Intracerebral hemorrhage.] Korean J Cerebrovasc Dis. 2001 Sep;3(2):163- 168. Korean. 미소장
15 Management of spontaneous nontraumatic intracranial hemorrhage. 네이버 미소장
16 Spontaneous intracerebral hemorrhage 네이버 미소장
17 Comparison of Hematoma Shape and Volume Estimates in Warfarin Versus Non-Warfarin-Related Intracerebral Hemorrhage 네이버 미소장
18 [A resolving sign of acute subdural hematoma: from report of two cases]. 네이버 미소장
19 Redistribution of hematoma to spinal subdural space as a mechanism for the rapid spontaneous resolution of posttraumatic intracranial acute subdural hematoma: case report 네이버 미소장
20 Rapid natural resolution of intracranial hematoma 네이버 미소장