caa a22 4500 606245529 CHVBK 20210128101335.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-015-1323-7 doi (NATIONALLICENCE)springer-10.1007/s12262-015-1323-7 Spontaneous Disappearance of a Large Chronic Subdural Hematoma: A Pleasant Surprise [Elektronische Daten] [Hanish Bansal, Anuj Mahajan, Apinderpreet Singh, Ashwani Chaudhary] We report an extremely rare case of spontaneous complete disappearance of a large chronic subdural hematoma in a 78-year aged man with a significant mass effect and a large midline shift which was diagnosed around 6weeks before admission. Repeat NCCT of the head in our department to everyone's surprise revealed almost complete spontaneous resolution. Spontaneous resolution of a large chronic subdural hematoma is extremely rare, and the scarce literature whatsoever is available is especially in cases of immune thrombocytopenic purpura where steroids may play a role in the stabilization of neomembranes. Our interest is in this case because of the benign clinical course despite a large size causing severe mass effect and large midline shift. Chronic subdural hematoma is a common entity in the elderly generally seen weeks following minor trauma. Surgical evacuation of a chronic subdural hematoma remains the gold standard treatment, but controversy exists regarding the best surgical option. Spontaneous resolution of a chronic subdural hematoma has also been reported rarely, but mainly in patients with immune thrombocytopenic purpura. Association of Surgeons of India, 2015 Chronic nationallicence Subdural nationallicence Spontaneous nationallicence Resolution nationallicence Bansal Hanish Department of Neurosurgery, Dayanand Medical College & Hospital, 10-B Udham Singh Nagar, Ludhiana, Punjab, India aut Mahajan Anuj Department of Surgery, Dayanand Medical College & Hospital, 10-B Udham Singh Nagar, Ludhiana, Punjab, India aut Singh Apinderpreet Department of Neurosurgery, Dayanand Medical College & Hospital, 10-B Udham Singh Nagar, Ludhiana, Punjab, India aut Chaudhary Ashwani Department of Neurosurgery, Dayanand Medical College & Hospital, 10-B Udham Singh Nagar, Ludhiana, Punjab, India aut Indian Journal of Surgery Springer India 77/6(2015-12-01), 532-534 0972-2068 77:6<532 2015 77 12262 https://doi.org/10.1007/s12262-015-1323-7 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-015-1323-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bansal Hanish Department of Neurosurgery, Dayanand Medical College & Hospital, 10-B Udham Singh Nagar, Ludhiana, Punjab, India aut NATIONALLICENCE 700 1- Mahajan Anuj Department of Surgery, Dayanand Medical College & Hospital, 10-B Udham Singh Nagar, Ludhiana, Punjab, India aut NATIONALLICENCE 700 1- Singh Apinderpreet Department of Neurosurgery, Dayanand Medical College & Hospital, 10-B Udham Singh Nagar, Ludhiana, Punjab, India aut NATIONALLICENCE 700 1- Chaudhary Ashwani Department of Neurosurgery, Dayanand Medical College & Hospital, 10-B Udham Singh Nagar, Ludhiana, Punjab, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77/6(2015-12-01), 532-534 0972-2068 77:6<532 2015 77 12262