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April 1962

Post-Traumatic Subdural Hematoma: Further Observations on Nonsurgical Treatment

Author Affiliations

From the Department of Neurology, University of Bologna School of Medicine, Bologna, Italy.
Professor and Chairman of the Department of Neurology.

Arch Neurol. 1962;6(4):287-292. doi:10.1001/archneur.1962.00450220029005

In the period of time from Oct., 1956, to June, 1958, in the Department of Neurology of the University of Bari, 4 cases of posttraumatic chronic subdural hematomas were observed in which the clinical symptoms and the characteristic arteriographic picture regressed completely without surgical intervention.1 Their treatment consisted of bed rest and an ample diet fortified with a variety of vitamins, antihemorrhagic and vasoprotective drugs, corticosteroids, and intravenous injections of hypertonic glucose solutions.

Since that time, several other unpublished cases have been observed which responded as well to this supportive therapy. Some of these patients are still under observation and warrant a longer follow-up. Three of them, however, may be considered symptom-free and will be herein reported.

Report of Three Cases  Case 1.—A 57-year-old man was admitted to the Department of Neurology on Oct. 9, 1958, with a history of headaches, more marked in the left frontal region, of