Spontaneous Complete Resolution of Significant Volume Extradural Haematoma: A Case Report

  • Krishan Kumar Sharma Department of Neurosurgery (Trauma & Emergency), All India Institute of Medical Sciences, Phulwarisharif, Patna, Bihar, India
  • Asgar Ali Department of Biochemistry, All India Institute of Medical Sciences Patna, Bihar-801507, India
Keywords: Extradural hematoma, Glasgow Coma Scale, Brain Trauma Foundation Guidelines, Dysphasia


According to brain Trauma foundation guidelines, any extradural hematoma with volume more than 30 ml should undergo surgical evacuation regardless of the Glasgow Coma Scale (GCS). Patient presented was neurologically normal with mild headache, his CT Scan Head showed left parietal extradural hematoma (volume7.35x2.37x7.1=50cc). The patient was kept under regular clinico-radiological assessment. In ten weeks, duration, it showed complete resolution of extradural hematoma. This support it as rationalized treatment approach for such cases before surgery. Which will reduce workload on busy Neurosurgical operation theatre and surgical complications, also reduce expenditure on health care.


Bullock MR, Chesnut R, Ghajar J, et al. Surgical Management of Traumatic Brain Injury Author Group. Surgical management of acute epidural hematomas. Neurosurgery. 2006;58:S7-15.

Ullman JS, Kopell BH. Epidural Hematomas Treatment & Management emedicine. Medscape. Com /article /248840. 2016;14,.

Zakaria Z, Kaliaperumal C, Kaar G, et al. Extradural haematoma--to evacuate or not? Revisiting treatment guidelines. Clin Neurol Neurosurg. 2013;115(8):1201-5.

Kang SH, Chung YG, Lee HK. Rapid disappearance of acute posterior fossaepidural hematoma. Neurol Med Chir (Tokyo). 2005;45(9):462-3.

Case Reports