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Subdural hematoma

A subdural hematoma is a collection of blood between the covering of the brain (dura) and the surface of the brain.

Causes

A subdural hematoma is usually the result of a serious head injury. When it occurs this way, it is called an "acute" subdural hematoma. Acute subdural hematomas are among the deadliest of all head injuries. The bleeding fills the brain area very rapidly, compressing brain tissue. This often results in brain injury and may lead to death.

Subdural hematomas can also occur after a very minor head injury, especially in the elderly. These may go unnoticed for many days to weeks, and are called "chronic" subdural hematomas. With any subdural hematoma, tiny veins between the surface of the brain and its outer covering (the dura) stretch and tear, allowing blood to collect. In the elderly, the veins are often already stretched because of brain atrophy (shrinkage) and are more easily injured.

Some subdural hematomas occur without cause (spontaneously).

The following increase your risk for a subdural hematoma:

  • Anticoagulant medication (blood thinners, including aspirin)
  • Long-term abuse of alcohol
  • Medical conditions that make your blood clot poorly
  • Recurrent falls
  • Repeated head injury
  • Very young or very old age

Symptoms

  • Confused speech
  • Difficulty with balance or walking
  • Headache
  • Lethargy or confusion
  • Loss of consciousness
  • Nausea and vomiting
  • Numbness
  • Seizures
  • Slurred speech
  • Visual disturbances
  • Weakness

In infants:

Exams and Tests

Always get medical help after a head injury. Older persons should receive medical care if they show signs of memory problems or mental decline, even if they do not appear to have had an injury. An exam should include a complete neurologic exam.

Your doctor may order a brain imaging study if you have any of the following symptoms:

  • Confused speech
  • Difficulty with balance or walking
  • Headache
  • Inability to speak
  • Lethargy or confusion
  • Loss of consciousness
  • Nausea and vomiting
  • Numbness
  • Recent cognitive decline in an elderly person, even without a history of brain injury
  • Seizures
  • Slurred speech
  • Visual disturbance
  • Weakness

A CT scan or MRI scan will likely be done to evaluate for the presence of a subdural hematoma.

Treatment

A subdural hematoma is an emergency condition.

Emergency surgery may be needed to reduce pressure within the brain. This may involve drilling a small hole in the skull, which allows blood to drain and relieves pressure on the brain. Large hematomas or solid blood clots may need to be removed through a procedure called a craniotomy, which creates a larger opening in the skull.

Medicines used to treat a subdural hematoma depend on the type of subdural hematoma, the severity of symptoms, and how much brain damage has occurred. Diuretics and corticosteroids may be used to reduce swelling. Anticonvulsion medications, such as phenytoin, may be used to control or prevent seizures.

Outlook (Prognosis)

The outlook following a subdural hematoma varies widely depending on the type and location of head injury, the size of the blood collection, and how quickly treatment is obtained.

Acute subdural hematomas present the greatest challenge, with high rates of death and injury. Subacute and chronic subdural hematomas have better outcomes in most cases. Symptoms often go away after the blood collection is drained. A period of rehabilitation is sometimes needed to assist the person back to his or her usual level of functioning.

There is a high frequency of seizures following a subdural hematoma, even after drainage. These are usually well controlled with medication. Seizures may occur at the time the hematoma forms, or up to months or years afterward.

Possible Complications

  • Brain herniation (pressure on the brain severe enough to cause coma and death)
  • Persistent symptoms such as memory loss, dizziness, headache, anxiety, and difficulty concentrating
  • Seizures
  • Temporary or permanent weakness, numbness, difficulty speaking

When to Contact a Medical Professional

A subdural hematoma requires emergency medical attention. Call 911 or your local emergency number, or go immediately to an emergency room after a head injury.

Spinal injuries often occur with head injuries, so try to keep the person's neck still if you must move him or her before help arrives.

Prevention

Always use safety equipment at work and play to reduce your risk of a head injury. For example, use hard hats, bicycle or motorcycle helmets, and seat belts. Older individuals should be particularly careful to avoid falls.

Alternative Names

Subdural hemorrhage

References

Biros MH, Heegaard WG. Head injury. In: Marx JA, ed.Rosen's Emergency Medicine: Concepts and Clinical Practice

Patient Instructions

Update Date 7/27/2014

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