eMedicine Specialties > Radiology > Brain/Spine

Subdural Hematoma: Follow-up

Author: Andrew L Wagner, MD, Assistant Professor of Radiology, Instructional Faculty, University of Virginia School of Medicine; Director of Neuroradiology, Department of Radiology, Rockingham Memorial Hospital
Contributor Information and Disclosures

Updated: Oct 29, 2009

Intervention

Medicolegal Pitfalls

  • In children, posterior interhemispheric and tentorial subdural hematomas have been associated with child abuse.
  • The radiologist should be concerned about possible child abuse when a posterior subdural hematoma is seen, particularly in association with other suggestive imaging results, such as the depiction of blood products of differing ages.
 


More on Subdural Hematoma

Overview: Subdural Hematoma
Imaging: Subdural Hematoma
Follow-up: Subdural Hematoma
Multimedia: Subdural Hematoma
References
Further Reading
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References

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  2. Chieregato A, Noto A, Tanfani A, Bini G, Martino C, Fainardi E. Hyperemia beneath evacuated acute subdural hematoma is frequent and prolonged in patients with an unfavorable outcome: a xe-computed tomographic study. Neurosurgery. Apr 2009;64(4):705-17; discussion 717-8. [Medline].

  3. Petridis AK, Dörner L, Doukas A, Eifrig S, Barth H, Mehdorn M. Acute subdural hematoma in the elderly; clinical and CT factors influencing the surgical treatment decision. Cen Eur Neurosurg. May 2009;70(2):73-8. [Medline].

  4. Tung GA, Kumar M, Richardson RC. Comparison of accidental and nonaccidental traumatic head injury in children on noncontrast computed tomography. Pediatrics. Aug 2006;118(2):626-33.

  5. Kavcic A, Meglic B, Meglic NP. Asymptomatic huge calcified subdural hematoma in a patient on oral anticoagulant therapy. Neurology. Mar 14 2006;66(5):758.

  6. Yardimci N, Gulsen S, Avci AY, Altinors N, Zileli T, Can U. Can subdural hematoma be a trigger for Guillain-Barré syndrome?. Int J Neurosci. 2009;119(3):366-72. [Medline].

  7. Foerster BR, Petrou M, Lin D, Thurnher MM, Carlson MD, Strouse PJ, et al. Neuroimaging Evaluation of Non-accidental Head Trauma with Correlation to Clinical Outcomes: A Review of 57 Cases. J Pediatr. Nov 22 2008;[Medline].

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  10. Yuh EL, Gean AD, Manley GT, Callen AL, Wintermark M. Computer-aided assessment of head computed tomography (CT) studies in patients with suspected traumatic brain injury. J Neurotrauma. Oct 2008;25(10):1163-72. [Medline].

  11. Gentry LR, Godersky JC, Thompson B. MR imaging of head trauma: review of the distribution and radiopathologic features of traumatic lesions. AJR Am J Roentgenol. Mar 1988;150(3):663-72. [Medline].

  12. Gentry LR, Godersky JC, Thompson B, Dunn VD. Prospective comparative study of intermediate-field MR and CT in the evaluation of closed head trauma. AJR Am J Roentgenol. Mar 1988;150(3):673-82. [Medline].

  13. Adams JH, Graham DI, Scott G, et al. Brain damage in fatal non-missile head injury. J Clin Pathol. Dec 1980;33(12):1132-45. [Medline].

  14. Cohen RA, Kaufman RA, Myers PA, Towbin RB. Cranial computed tomography in the abused child with head injury. AJR Am J Roentgenol. Jan 1986;146(1):97-102. [Medline].

  15. El-Kadi H, Miele VJ, Kaufman HH. Prognosis of chronic subdural hematomas. Neurosurg Clin N Am. Jul 2000;11(3):553-67. [Medline].

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  20. Huang D, Abe T, Kojima K. Intracystic hemorrhage of the middle fossa arachnoid cyst and subdural hematoma caused by ruptured middle cerebral artery aneurysm. AJNR Am J Neuroradiol. Aug 1999;20(7):1284-6. [Medline].

  21. Ito K, Matsuyama Y, Iwase T. Intracranial subdural hematoma after puncture of spinal meningeal cysts. Clin Orthop Relat Res. Aug 2001;89-93. [Medline].

  22. Kravtchouk AD, Likhterman LB, Potapov AA, El-Kadi H. Postoperative complications of chronic subdural hematomas: prevention and treatment. Neurosurg Clin N Am. Jul 2000;11(3):547-52. [Medline].

  23. Lee KS, Bae WK, Bae HG, et al. The computed tomographic attenuation and the age of subdural hematomas. J Korean Med Sci. Aug 1997;12(4):353-9. [Medline].

  24. Maiuri F, Iaconetta G, Sardo L. Dural arteriovenous malformation associated with recurrent subdural haematoma and intracranial hypertension. Br J Neurosurg. Jun 2001;15(3):273-6. [Medline].

  25. Markwalder TM. The course of chronic subdural hematomas after burr-hole craniostomy with and without closed-system drainage. Neurosurg Clin N Am. Jul 2000;11(3):541-6. [Medline].

  26. Massaro F, Lanotte M, Faccani G, Triolo C. One hundred and twenty-seven cases of acute subdural haematoma operated on. Correlation between CT scan findings and outcome. Acta Neurochir (Wien). 1996;138(2):185-91. [Medline].

  27. Mori K, Yamamoto T, Horinaka N. Arachnoid cyst is a risk factor for chronic subdural hematoma in juveniles: twelve cases of chronic subdural hematoma associated with arachnoid cyst. J Neurotrauma. Sep 2002;19(9):1017-27. [Medline].

  28. Ono J, Yamaura A, Kubota M, et al. Outcome prediction in severe head injury: analyses of clinical prognostic factors. J Clin Neurosci. Mar 2001;8(2):120-3. [Medline].

  29. Piatt JH Jr. A pitfall in the diagnosis of child abuse: external hydrocephalus, subdural hematoma, and retinal hemorrhages. Neurosurg Focus. Oct 15 1999;7(4):e4.

  30. Sato Y, Yuh WT, Smith WL, et al. Head injury in child abuse: evaluation with MR imaging. Radiology. Dec 1989;173(3):653-7. [Medline].

  31. 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].

  32. Sener RN. Arachnoid cysts associated with post-traumatic and spontaneous rupture into the subdural space. Comput Med Imaging Graph. Nov-Dec 1997;21(6):341-4.

  33. Servadei F, Nasi MT, Giuliani G, et al. CT prognostic factors in acute subdural haematomas: the value of the ''worst'' CT scan. Br J Neurosurg. Apr 2000;14(2):110-6. [Medline].

  34. Tandon PN. Acute subdural haematoma: a reappraisal. Neurol India. Mar 2001;49(1):3-10. [Medline].

  35. Williams VL, Hogg JP. Magnetic resonance imaging of chronic subdural hematoma. Neurosurg Clin N Am. Jul 2000;11(3):491-8. [Medline].

  36. Zumkeller M, Behrmann R, Heissler HE, Dietz H. Computed tomographic criteria and survival rate for patients with acute subdural hematoma. Neurosurgery. Oct 1996;39(4):708-12; discussion 712-3. [Medline].

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Keywords

subdural hematoma, SDH, subdural hemorrhage, subdural bleed, brain hemorrhage, intracranial hemorrhage, extraaxial hemorrhage, extra-axial hemorrhage, intracranial hemorrhage, cranial bleeding, head trauma, brain injury, brain trauma, acute subdural hematoma, subacute subdural hematoma, chronic subdural hematoma, shaken baby syndrome, shaken-baby syndrome, child abuse

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Contributor Information and Disclosures

Author

Andrew L Wagner, MD, Assistant Professor of Radiology, Instructional Faculty, University of Virginia School of Medicine; Director of Neuroradiology, Department of Radiology, Rockingham Memorial Hospital
Andrew L Wagner, MD is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, American Society of Neuroradiology, and Radiological Society of North America
Disclosure: Nothing to disclose.

Medical Editor

Robert A Koenigsberg, DO, MSc, FAOCR, Professor, Director of Neuroradiology, Program Director, Diagnostic Radiology and Neuroradiology Training Programs, Department of Radiology, Hahnemann University Hospital, Drexel University College of Medicine
Robert A Koenigsberg, DO, MSc, FAOCR is a member of the following medical societies: American Osteopathic Association, American Society of Neuroradiology, Radiological Society of North America, and Society of NeuroInterventional Surgery
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Resolution Imaging Medical Corporation
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

L Gill Naul, MD, Professor and Head, Department of Radiology, Texas A&M University College of Medicine; Chair, Department of Radiology, Chief, Section of Magnetic Resonance Imaging, Scott and White Memorial Hospital and Clinic
L Gill Naul, MD is a member of the following medical societies: American College of Radiology, American Medical Association, American Roentgen Ray Society, Radiological Society of North America, and Texas Medical Association
Disclosure: Nothing to disclose.

 
 
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