Copyright
©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 6, 2022; 10(13): 4288-4293
Published online May 6, 2022. doi: 10.12998/wjcc.v10.i13.4288
Published online May 6, 2022. doi: 10.12998/wjcc.v10.i13.4288
Enigmatic rapid organization of subdural hematoma in a patient with epilepsy: A case report
Hong-Tao Lv, Lin-Yun Zhang, Xiao-Tong Wang, Department of Neurosurgery, The First Affiliated Hospital of Dalian Medical University, Dalian 116000, Liaoning Province, China
Author contributions: Lv HT contributed to manuscript drafting and literature research; Zhang LY provided important intellectual content to the manuscript and processed the figures; Wang XT contributed to manuscript drafting and reviewed the literature; all authors issued final approval for the version to be submitted and participated in the surgical procedure as neurosurgeons.
Informed consent statement: Informed written consent was obtained from the patient’ husband for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Xiao-Tong Wang, MD, Chief Doctor, Neurosurgeon, Research Fellow, Department of Neurosurgery, The First Affiliated Hospital of Dalian Medical University, No. 222 Zhongshan Road, Dalian 116000, Liaoning Province, China. evis@live.cn
Received: November 18, 2021
Peer-review started: November 18, 2021
First decision: December 27, 2021
Revised: December 31, 2021
Accepted: March 6, 2022
Article in press: March 6, 2022
Published online: May 6, 2022
Processing time: 162 Days and 13.2 Hours
Peer-review started: November 18, 2021
First decision: December 27, 2021
Revised: December 31, 2021
Accepted: March 6, 2022
Article in press: March 6, 2022
Published online: May 6, 2022
Processing time: 162 Days and 13.2 Hours
Core Tip
Core Tip: Through unknown mechanisms, a minority of chronic subdural hematomas (SDHs) tend to be organized in the end with the prerequisite of being chronic. It takes a long time to form encapsulating membranes, as was traditionally thought. We report a rare case of enigmatic rapid encapsulation of an acute SDH, which, according to the definition, cannot be considered organized. Such a rapid formation of thick membranes around an acute SDH is rare and will certainly make the procedure, if needed, unpredictable. We may also need to review the natural history of SDH.