eMedicine Specialties > Neurology > Critical Care Neurology

Subdural Hematoma: Multimedia

Author: Richard J Meagher, MD, Attending Neurosurgeon, Neurosurgical Associates of Abington, Abington Memorial Hospital
Coauthor(s): William F Young, MD, Attending Neurosurgeon, Fort Wayne Neurological Center
Contributor Information and Disclosures

Updated: Nov 24, 2009

Multimedia

Acute right-sided subdural hematoma associated wi...Media file 1: Acute right-sided subdural hematoma associated with significant midline shift (ie, subfalcine herniation) shown on CT scan.
Acute right-sided subdural hematoma associated wi...

Acute right-sided subdural hematoma associated with significant midline shift (ie, subfalcine herniation) shown on CT scan.

Bilateral chronic subdural hematomas shown on CT ...Media file 2: Bilateral chronic subdural hematomas shown on CT scan. Midline shift is absent because of bilateral mass effect. Subdural hematoma is bilateral in 20% of patients with chronic subdural hematoma.
Bilateral chronic subdural hematomas shown on CT ...

Bilateral chronic subdural hematomas shown on CT scan. Midline shift is absent because of bilateral mass effect. Subdural hematoma is bilateral in 20% of patients with chronic subdural hematoma.

An acute subdural hematoma is shown in this intra...Media file 3: An acute subdural hematoma is shown in this intraoperative photograph. Note the frontotemporoparietal flap used. The hematoma is currant jelly–like in appearance.
An acute subdural hematoma is shown in this intra...

An acute subdural hematoma is shown in this intraoperative photograph. Note the frontotemporoparietal flap used. The hematoma is currant jelly–like in appearance.

More on Subdural Hematoma

Overview: Subdural Hematoma
Differential Diagnoses & Workup: Subdural Hematoma
Treatment & Medication: Subdural Hematoma
Follow-up: Subdural Hematoma
Multimedia: Subdural Hematoma
References

References

  1. Gennarelli TA, Thibault LE. Biomechanics of acute subdural hematoma. J Trauma. Aug 1982;22(8):680-6. [Medline].

  2. Hlatky R, Valadka AB, Goodman JC, Robertson CS. Evolution of brain tissue injury after evacuation of acute traumatic subdural hematomas. Neurosurgery. Jul 2007;61(1 suppl):249-254. [Medline].

  3. Schroder ML, Muizelaar JP, Kuta AJ. Documented reversal of global ischemia immediately after removal of an acute subdural hematoma. Report of two cases. J Neurosurg. Feb 1994;80(2):324-7. [Medline].

  4. Tanaka A, Yoshinaga S, Kimura M. Xenon-enhanced computed tomographic measurement of cerebral blood flow in patients with chronic subdural hematomas. Neurosurgery. Oct 1990;27(4):554-61. [Medline].

  5. Foelholm R, Waltimo O. Epidemiology of chronic subdural haematoma. Acta Neurochir (Wien). 1975;32(3-4):247-50. [Medline].

  6. Luxon LM, Harrison MJ. Chronic subdural haematoma. Q J Med. Jan 1979;48(189):43-53. [Medline].

  7. Stein SC, Young GS, Talucci RC, et al. Delayed brain injury after head trauma: significance of coagulopathy. Neurosurgery. Feb 1992;30(2):160-5. [Medline].

  8. Brain Trauma Foundation, AANS, Joint Section of Neurotrauma and Critical Care. Guidelines for the management of severe head injury. J Neurotrauma. Nov 1996;13(11):641-734. [Medline].

  9. Wong CW. Criteria for conservative treatment of supratentorial acute subdural haematomas. Acta Neurochir (Wien). 1995;135(1-2):38-43. [Medline].

  10. Toutant SM, Klauber MR, Marshall LF, et al. Absent or compressed basal cisterns on first CT scan: ominous predictors of outcome in severe head injury. J Neurosurg. Oct 1984;61(4):691-4. [Medline].

  11. Chesnut RM, Marshall LF, Klauber MR, et al. The role of secondary brain injury in determining outcome from severe head injury. J Trauma. Feb 1993;34(2):216-22. [Medline].

  12. [Best Evidence] Santarius T, Kirkpatrick PJ, Ganesan D, Chia HL, Jalloh I, Smielewski P, et al. Use of drains versus no drains after burr-hole evacuation of chronic subdural haematoma: a randomised controlled trial. Lancet. Sep 26 2009;374(9695):1067-73. [Medline].

  13. Guilburd JN, Sviri GE. Role of dural fenestrations in acute subdural hematoma. J Neurosurg. Aug 2001;95(2):263-7. [Medline].

  14. Hwang SC, Im SB, Kim BT, Shin WH. Safe entry point for twist-drill craniostomy of a chronic subdural hematoma. J Neurosurg. Dec 19 2008;[Medline].

  15. Miele VJ, Sadrolhefazi A, Bailes JE. Influence of head position on the effectiveness of twist drill craniostomy for chronic subdural hematoma. Surgical Neurology. May 2005;63(5):420-423. [Medline].

  16. Camel M, Grubb RL Jr. Treatment of chronic subdural hematoma by twist-drill craniotomy with continuous catheter drainage. J Neurosurg. Aug 1986;65(2):183-7. [Medline].

  17. Phuenpathom N, Choomuang M, Ratanalert S. Outcome and outcome prediction in acute subdural hematoma. Surg Neurol. Jul 1993;40(1):22-5. [Medline].

  18. Wilberger JE Jr, Harris M, Diamond DL. Acute subdural hematoma: morbidity and mortality related to timing of operative intervention. J Trauma. Jun 1990;30(6):733-6. [Medline].

  19. Sakas DE, Bullock MR, Teasdale GM. One-year outcome following craniotomy for traumatic hematoma in patients with fixed dilated pupils. J Neurosurg. Jun 1995;82(6):961-5. [Medline].

  20. Seelig JM, Becker DP, Miller JD, et al. Traumatic acute subdural hematoma: major mortality reduction in comatose patients treated within four hours. N Engl J Med. Jun 18 1981;304(25):1511-8. [Medline].

  21. Kapsalaki EZ, Machinis TG, Robinson JS 3rd, Newman B, Grigorian AA, Fountas KN. Spontaneous resolution of acute cranial subdural hematomas. Clin Neurol Neurosurg. Apr 2007;109(3):287-291. [Medline].

  22. Itshayek E, Rosenthal G, Fraifeld S, Perez-Sanchez X, Cohen JE, Spektor S. Delayed posttraumatic acute subdural hematoma in elderly patients on anticoagulation. Neurosurgery. May 2006;58(5):E851-856. [Medline].

  23. Brown CV, Weng J, Oh D, et al. Does routine serial computed tomography of the head influence management of traumatic brain injury? A prospective evaluation. J Trauma. Nov 2004;57(5):939-43. [Medline].

  24. Bullock MR, Chesnut R, Ghajar J, Gordon D, Hartl R, Newell DW, et al. Surgical management of acute subdural hematomas. Neurosurgery. Mar 2006;58(3 Suppl):S16-24; discussion Si-iv. [Medline].

  25. Cameron MM. Chronic subdural haematoma: a review of 114 cases. J Neurol Neurosurg Psychiatry. Sep 1978;41(9):834-9. [Medline].

  26. Chesnut RM, Gautille T, Blunt BA, et al. The localizing value of asymmetry in pupillary size in severe head injury: relation to lesion type and location. Neurosurgery. May 1994;34(5):840-5; discussion 845-6. [Medline].

  27. Hamilton MG, Frizzell JB, Tranmer BI. Chronic subdural hematoma: the role for craniotomy reevaluated. Neurosurgery. Jul 1993;33(1):67-72. [Medline].

  28. Hesselbrock R, Sawaya R, Means ED. Acute spontaneous subdural hematoma. Surg Neurol. Apr 1984;21(4):363-6. [Medline].

  29. Hlatky R, Valadka AB, Goodman JC, Robertson CS. Evolution of brain tissue injury after evacuation of acute traumatic subdural hematomas. Neurosurgery. Dec 2004;55(6):1318-23; discussion 1324. [Medline].

  30. Kelly DF, Nikas DL, Becker DP. Diagnosis and treatment of moderate and severe head injuries in adults. In: Youmans JR, ed. Youmans Neurological Surgery [CD-ROM]. Vol 3. Philadelphia: WB Saunders; 1996:1618-1718.

  31. Lobato RD, Rivas JJ, Gomez PA, et al. Head-injured patients who talk and deteriorate into coma. Analysis of 211 cases studied with computerized tomography. J Neurosurg. Aug 1991;75(2):256-61. [Medline].

  32. Marshall LF, Toole BM, Bowers SA. The National Traumatic Coma Data Bank. Part 2: Patients who talk and deteriorate: implications for treatment. J Neurosurg. Aug 1983;59(2):285-8. [Medline].

  33. Neff, SR, Meagher, RJ. Linear incisions for trauma craniotomies—operative technique and results. Program of the 46th Annual Meeting of the Congress of Neurological Surgeons. 1996:446.

  34. Potter JF, Fruin AH. Chronic subdural hematoma--the "great imitator". Geriatrics. Jun 1977;32(6):61-6. [Medline].

  35. Salvant JB Jr, Muizelaar JP. Changes in cerebral blood flow and metabolism related to the presence of subdural hematoma. Neurosurgery. Sep 1993;33(3):387-93; discussion 393. [Medline].

  36. Stein SC, Spettell C, Young G, Ross SE. Delayed and progressive brain injury in closed-head trauma: radiological demonstration. Neurosurgery. Jan 1993;32(1):25-30; discussion 30-1. [Medline].

  37. Tanaka A, Nakayama Y, Yoshinaga S. Cerebral blood flow and intracranial pressure in chronic subdural hematomas. Surg Neurol. Apr 1997;47(4):346-51. [Medline].

  38. Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. Jul 13 1974;2(7872):81-4. [Medline].

  39. Torihashi K, Sadamasa N, Yoshida K, Narumi O, Chin M, Yamagata S. Independent predictors for recurrence of chronic subdural hematoma: a review of 342 consecutive surgical cases. Neurosurgery. Dec 2008;63(6):1125-1129. [Medline].

  40. Traynelis VC. Chronic subdural hematoma in the elderly. Clin Geriatr Med. Aug 1991;7(3):583-98. [Medline].

Further Reading

Keywords

head injury, subdural hematoma, epidural hematoma, extraaxial hematoma, intracranial mass lesions, head injuries, intracranial hematomas, traumatic intracranial hematomas, chronic subdural hematoma, CSDH, coagulopathies and ruptured intracranial aneurysms, acute traumatic subdural hematoma, ATSDH, atraumatic subdural hematoma, acute subdural bleeding, brain injury, cerebral atrophy, herniation syndromes, stroke of the posterior cerebral artery distribution, spontaneous subdural hematoma

Contributor Information and Disclosures

Author

Richard J Meagher, MD, Attending Neurosurgeon, Neurosurgical Associates of Abington, Abington Memorial Hospital
Richard J Meagher, MD is a member of the following medical societies: American Association of Neurological Surgeons, Congress of Neurological Surgeons, and North American Spine Society
Disclosure: Nothing to disclose.

Coauthor(s)

William F Young, MD, Attending Neurosurgeon, Fort Wayne Neurological Center
William F Young, MD is a member of the following medical societies: Congress of Neurological Surgeons
Disclosure: Nothing to disclose.

Medical Editor

Norman C Reynolds Jr, MD, Neurologist, Veterans Affairs Medical Center of Milwaukee; Professor Medical College of Wisconsin (retired)
Norman C Reynolds Jr, MD is a member of the following medical societies: American Academy of Neurology, Association of Military Surgeons of the US, Movement Disorders Society, Sigma Xi, and Society for Neuroscience
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Howard S Kirshner, MD, Professor of Neurology, Psychiatry and Hearing and Speech Sciences, Vice Chairman, Department of Neurology, Vanderbilt University School of Medicine; Director, Vanderbilt Stroke Center; Program Director, Stroke Service, Vanderbilt Stallworth Rehabilitation Hospital; Consulting Staff, Department of Neurology, Nashville Veterans Affairs Medical Center
Howard S Kirshner, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Neurology, American Heart Association, American Medical Association, American Neurological Association, American Society of Neurorehabilitation, National Stroke Association, Phi Beta Kappa, and Tennessee Medical Association
Disclosure: Boehringer Ingelheim Honoraria Speaking and teaching; BMS/Sanofi Honoraria Speaking and teaching; Novartis Honoraria Speaking and teaching

CME Editor

Selim R Benbadis, MD, Professor, Director of Comprehensive Epilepsy Program, Departments of Neurology and Neurosurgery, University of South Florida School of Medicine, Tampa General Hospital
Selim R Benbadis, MD is a member of the following medical societies: American Academy of Neurology, American Academy of Sleep Medicine, American Clinical Neurophysiology Society, American Epilepsy Society, and American Medical Association
Disclosure: Nothing to disclose.

Chief Editor

Helmi L Lutsep, MD, Professor, Department of Neurology, Oregon Health & Science University; Associate Director, Oregon Stroke Center
Helmi L Lutsep, MD is a member of the following medical societies: American Academy of Neurology and American Stroke Association
Disclosure: Co-Axia Consulting fee Review panel membership; Talecris Consulting fee Review panel membership; AGA Medical Consulting fee Review panel membership; Boehringer Ingelheim Honoraria Speaking and teaching; Concentric Medical Consulting fee Review panel membership; Abbott Consulting fee Consulting; Sanofi  Consulting

 
 
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