„Verschwinden“ des Epiduralhämatoms im Verlauf

Spontaneous rapid resolution, redistribution or drainage (disappearance) of an acute epidural hematoma within 24 h has occasionally been reported, mostly in younger traumatized persons. The mechanism could be drainage of the hematoma through an overlying skull fracture into the subgaleal and subcutaneous space caused by increasing brain swelling and intracranial pressure. This was the case in an 85-year-old cyclist who suffered severe craniocerebral trauma in a traffic accident. The epidural hematoma detected by emergency computed tomography (CT) was no longer visible in the control CT 8 h later (and the autopsy). All that was found was a massive intracerebral bleeding and accompanying brain edema.