Abstract
The literature on the non-operative treatment of chronic subdural hematoma is scanty indeed as it appears that many neurosurgeons take surgical evacuation for granted as its key management principle. We here present the case of a 61-year-old man with a severe, troublesome headache of 4 days duration following a minor trauma. He had been involved in another minor trauma 2 months before the index admission. Cranial computed tomography (CT) scanning showed a left frontoparietal chronic subdural hematoma with notable mass effects. He declined surgery for personal reasons and was thus treated non-operatively on a short course of low dose dexamethasone. Clinical improvement was dramatic within 5 days into treatment and repeat CT 5 weeks later showed nearly complete resolution of the subdural hematoma. We therefore conclude that in well selected cases, non-operative treatment is a viable option in the treatment of chronic subdural hematoma.

Keywords
Chronic subdural hematoma, non-operative treatment