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Rapid absorption of frontal lobe contusion and laceration with hematoma: A case report and review of literature
It is rare for a traumatic intracranial hematoma to self-absorb rapidly after conservative treatment. To the best of our knowledge, there has been no report in the relevant literature of rapid absorption of hematoma formation following cerebral contusion and laceration. PATIENT CONCERNS: A 54-year-o...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10158905/ https://www.ncbi.nlm.nih.gov/pubmed/37145014 http://dx.doi.org/10.1097/MD.0000000000033522 |
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author | Wu, Yangzong Liu, Penghui Lin, Yuanxiang Qian, Shuiqing Chen, Xiaoxin Fan, Zhiquan |
author_facet | Wu, Yangzong Liu, Penghui Lin, Yuanxiang Qian, Shuiqing Chen, Xiaoxin Fan, Zhiquan |
author_sort | Wu, Yangzong |
collection | PubMed |
description | It is rare for a traumatic intracranial hematoma to self-absorb rapidly after conservative treatment. To the best of our knowledge, there has been no report in the relevant literature of rapid absorption of hematoma formation following cerebral contusion and laceration. PATIENT CONCERNS: A 54-year-old male was admitted to our hospital with head trauma at 3 hours prior to admission. He was alert and oriented, glasgow coma scale score of 15. Head computed tomography (CT) showed left frontal brain contusion with hematoma, however, a reexamination of CT about 29 hours following the trauma revealed that the hematoma had been absorbed. DIAGNOSES: A diagnosis of contusion and laceration of left frontal lobe with hematoma formation was made based on the CT images. INTERVENTIONS: The patient underwent conservative treatment. OUTCOMES: After treatment, dizziness and headache subsided for the patient, and no special discomfort was reported. LESSONS: It is likely that the reason for rapid absorption in this case is that the hematoma is prone to liquefaction because of abnormal platelet values and coagulation dysfunction. As the liquefaction hematoma breaks into the lateral ventricle, it is redistributed and absorbed in the lateral ventricle and subarachnoid space. Further evidence is required to support this hypothesis. |
format | Online Article Text |
id | pubmed-10158905 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-101589052023-05-05 Rapid absorption of frontal lobe contusion and laceration with hematoma: A case report and review of literature Wu, Yangzong Liu, Penghui Lin, Yuanxiang Qian, Shuiqing Chen, Xiaoxin Fan, Zhiquan Medicine (Baltimore) 7100 It is rare for a traumatic intracranial hematoma to self-absorb rapidly after conservative treatment. To the best of our knowledge, there has been no report in the relevant literature of rapid absorption of hematoma formation following cerebral contusion and laceration. PATIENT CONCERNS: A 54-year-old male was admitted to our hospital with head trauma at 3 hours prior to admission. He was alert and oriented, glasgow coma scale score of 15. Head computed tomography (CT) showed left frontal brain contusion with hematoma, however, a reexamination of CT about 29 hours following the trauma revealed that the hematoma had been absorbed. DIAGNOSES: A diagnosis of contusion and laceration of left frontal lobe with hematoma formation was made based on the CT images. INTERVENTIONS: The patient underwent conservative treatment. OUTCOMES: After treatment, dizziness and headache subsided for the patient, and no special discomfort was reported. LESSONS: It is likely that the reason for rapid absorption in this case is that the hematoma is prone to liquefaction because of abnormal platelet values and coagulation dysfunction. As the liquefaction hematoma breaks into the lateral ventricle, it is redistributed and absorbed in the lateral ventricle and subarachnoid space. Further evidence is required to support this hypothesis. Lippincott Williams & Wilkins 2023-05-05 /pmc/articles/PMC10158905/ /pubmed/37145014 http://dx.doi.org/10.1097/MD.0000000000033522 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | 7100 Wu, Yangzong Liu, Penghui Lin, Yuanxiang Qian, Shuiqing Chen, Xiaoxin Fan, Zhiquan Rapid absorption of frontal lobe contusion and laceration with hematoma: A case report and review of literature |
title | Rapid absorption of frontal lobe contusion and laceration with hematoma: A case report and review of literature |
title_full | Rapid absorption of frontal lobe contusion and laceration with hematoma: A case report and review of literature |
title_fullStr | Rapid absorption of frontal lobe contusion and laceration with hematoma: A case report and review of literature |
title_full_unstemmed | Rapid absorption of frontal lobe contusion and laceration with hematoma: A case report and review of literature |
title_short | Rapid absorption of frontal lobe contusion and laceration with hematoma: A case report and review of literature |
title_sort | rapid absorption of frontal lobe contusion and laceration with hematoma: a case report and review of literature |
topic | 7100 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10158905/ https://www.ncbi.nlm.nih.gov/pubmed/37145014 http://dx.doi.org/10.1097/MD.0000000000033522 |
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