# Conservative therapy of epidural hematoma with atorvastatin combined with glucocorticoids: cases report and literature review

## TL;DR

A conservative treatment combining atorvastatin and dexamethasone successfully managed epidural hematomas in six patients without surgery.

## Contribution

The study introduces a novel conservative therapy combining atorvastatin and glucocorticoids for stable epidural hematomas.

## Key findings

- All six patients with stable epidural hematomas recovered fully without surgery.
- The combination of atorvastatin and dexamethasone may promote hematoma absorption.
- Literature supports conservative management for selected epidural hematoma cases.

## Abstract

Epidural hematomas (EDH), typically requiring surgery, may be managed conservatively in select patients. We investigated atorvastatin (10 mg/day) combined with dexamethasone (2.25 mg/day) as conservative therapy in six EDH patients (GCS ≥ 13, volume < 30 ml) post-trauma. All patients recovered fully without surgery, and literatures support conservative care for stable EDH. Our findings suggest this combination therapy may promote hematoma absorption. In conclusion, atorvastatin/dexamethasone shows promise as a non-surgical EDH option, warranting further investigation.