title: Complete spontaneous resolution of compressive chronic subdural hematoma in a patient with liver failure.
abstract: Chronic subdural hematoma is usually caused by minor head trauma and occurs frequently with older people. Predisposing factors include alcohol abuse, epilepsy and coagulopathy. This report presents a 65-year old woman who had a large, mixed density, left sided compressive chronic subdural hematoma diagnosed by computed tomography. She also displayed a moderate neurological deficit on admission, confusion and behavioral disorder with Glasgow Coma Score 10. The computed tomography and neurological parameters indicated the necessity of surgery. A difficult general condition and coagulation factor disorder in this patient were determinative for the decision for non-operative treatment. It is very rare that a large chronic subdural hematoma is resolved completely spontaneously, but in our case conservative treatment gave an excellent result.
authors.affiliation: Radiology Centre, Clinical Centre of Vojvodina, Novi Sad, Serbia.
authors.forename: Mirela
authors.initials: M
authors.lastname: Juković
authors.forename: Zeljko
authors.initials: Z
authors.lastname: Kojadinović
authors.forename: Biljana
authors.initials: B
authors.lastname: Popovska
authors.forename: Viktor
authors.initials: V
authors.lastname: Till
mesh_terms: D000368:Aged; D006259:Craniocerebral Trauma / Q000150:complications*; D005260:Female; D020200:Hematoma, Subdural, Chronic / Q000150:complications / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D008108:Liver Diseases, Alcoholic / Q000150:complications*; D017093:Liver Failure / Q000150:complications*; D011859:Radiography; D012075:Remission, Spontaneous