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KMID : 1143720180140020138
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Korean Journal of Neurotrauma
2018 Volume.14 No. 2 p.138 ~ p.141
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Rapid Redistribution of an Acute Traumatic Epidural Hematoma in a Patient with Invasive Skull Cancer
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Lee Hyun-Nyung
Hwang Sun-Chul
Lee A-Leum
Kim Chan-Gyu
Im Soo-Bin
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Abstract
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The rapid spontaneous resolution of an acute epidural hematoma (EDH) has rarely been reported. A possible mechanism of spontaneous 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 and who 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 brain computed tomography scan that was acquired the day after the trauma. Given these findings, a fractured skull and increased pressure in the intradural area may have been the mechanisms underlying the redistribution of the hematoma.
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KEYWORD
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Epidural hematoma, Malignant nerve sheath tumor, Neurofibromatosis, Resolution, Skull fracture
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