Related Experiment Video
Updated: Jan 5, 2026
Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
Spontaneous resolution of chronic subdural hematoma: Does only the size matter?
Messias Gonçalves Pacheco Junior1, Bruno Lima Pessoa1, Jose Alberto Landeiro1
1Departments of Neurosurgery, Federal Fluminense University, Rio de Janeiro, Brazil.
Background:
Chronic subdural hematomas (CSDHs) usually occur late in adults and older after mild head trauma. Surgical intervention is the first treatment option in CSDH with conservative management being adopted in few cases.
Case Description:
We report a case of a 71-year-old man who presented a spontaneous resolution of a large CSDH. He presented with a difficulty of speech and an ataxic gait. Head (computed tomography scan) showed a low-density lesion located in the right frontal-temporal-parietal region.
Conclusion:
In this report, we discuss the spontaneous resolution of a large CSDH in elderly patients, without surgical intervention. Gradually, several successful nonsurgical therapies for the treatment of these hematomas are reported, although further studies are essential to establish the role of these nonsurgical treatments of CSDHs.
