title: Coexistence of rapidly resolving acute subdural hematoma and delayed traumatic intracerebral hemorrhage.
abstract: 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.
authors.affiliation: Department of Neurosurgery, Firat University School of Medicine, TR-23119 Elazig, Turkey. fserol@yahoo.com
authors.forename: Fatih S
authors.initials: FS
authors.lastname: Erol
authors.forename: Metin
authors.initials: M
authors.lastname: Kaplan
authors.forename: Cahide
authors.initials: C
authors.lastname: Topsakal
authors.forename: M Faik
authors.initials: MF
authors.lastname: Ozveren
authors.forename: Murat T
authors.initials: MT
authors.lastname: Tiftikci
mesh_terms: D000063:Accidents, Traffic; D005260:Female; D005625:Frontal Lobe / Q000098:blood supply / Q000293:injuries; D020199:Hematoma, Subdural, Acute / Q000209:etiology / Q000473:pathology*; D006801:Humans; D007223:Infant; D007427:Intracranial Pressure; D009778:Occipital Lobe / Q000098:blood supply / Q000293:injuries; D013702:Temporal Lobe / Q000098:blood supply / Q000293:injuries; D013997:Time Factors; D014057:Tomography, X-Ray Computed