A case in which the combination of tranexamic acid and Kampo prescription was effective for chronic encapsulated hematoma with repeated re-growth

Abstract

Although detailed mechanism of the growth of chronic encapsulated hematoma has not been clear yet, it is known that the histological image of the capsule is similar to the outer membrane of the chronic subdural hematoma. We report that the use of tranexamic acid and goreisan for a case of chronic encapsulated hematoma with venous angioma which repeated hematoma growth led to a significant reduction of the hematoma. The effectiveness of goreisan for chronic subdural hematoma is well-known, and goreisan may be also effective for chronic encapsulated hematoma which pathological conditions are similar to chronic subdural hematoma.