Subdural hematoma history and symptoms

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

History and Symptoms

History

Patients with subdural hematoma may have a positive history of:

Common Symptoms

Common symptoms of acute subdural hematoma include:^[1]

Headache
Vomiting
Anisocoria
Dysphagia
Balance problem
Comma
Blurred Vision
Disorientation
Dizziness
Slurred speech
Irritability
Seizures
Numbness
Abnormal movement of the eyes

Common symptoms of chronic subdural hematoma include:^[2]^[3]

Headaches
Cognitive impairment
Light-headedness
Suppression of emotions (apathy)
Sleepiness
Seizures
Disturbances of consciousness
Motor problems
Sensation problem (paraparesis)
Parkinson like symptoms

NOTE: Symptoms of chronic SDH can be fluctuating.

NOTE: Symptoms of subdural hemorrhage have a slower onset than those of epidural hemorrhages because the lower pressure veins bleed more slowly than arteries. Thus, signs and symptoms may show up within 24 hours but can be delayed as much as 2 weeks.^[4]

Less Common Symptoms

Less common symptoms of acute subdural hematoma include:

References

↑ Bullock MR, Chesnut R, Ghajar J, Gordon D, Hartl R, Newell DW, Servadei F, Walters BC, Wilberger JE (March 2006). "Surgical management of acute subdural hematomas". Neurosurgery. 58 (3 Suppl): S16–24, discussion Si–iv. PMID 16710968.
↑ Samiy, E. (1963). "Chronic Subdural Hematoma Presenting a Parkinsonian Syndrome". Journal of Neurosurgery. 20 (10): 903. doi:10.3171/jns.1963.20.10.0903. ISSN 0022-3085.
↑ Kaminski HJ, Hlavin ML, Likavec MJ, Schmidley JW (June 1992). "Transient neurologic deficit caused by chronic subdural hematoma". Am. J. Med. 92 (6): 698–700. PMID 1605153.
↑ Sanders MJ and McKenna K. 2001. Mosby’s Paramedic Textbook, 2nd revised Ed. Chapter 22, "Head and facial trauma." Mosby.

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[pmid16710968-1] Bullock MR, Chesnut R, Ghajar J, Gordon D, Hartl R, Newell DW, Servadei F, Walters BC, Wilberger JE (March 2006). "Surgical management of acute subdural hematomas". Neurosurgery. 58 (3 Suppl): S16–24, discussion Si–iv. PMID 16710968.

[Samiy1963-2] Samiy, E. (1963). "Chronic Subdural Hematoma Presenting a Parkinsonian Syndrome". Journal of Neurosurgery. 20 (10): 903. doi:10.3171/jns.1963.20.10.0903. ISSN 0022-3085.

[pmid1605153-3] Kaminski HJ, Hlavin ML, Likavec MJ, Schmidley JW (June 1992). "Transient neurologic deficit caused by chronic subdural hematoma". Am. J. Med. 92 (6): 698–700. PMID 1605153.

[Sanders_and_McKenna-4] Sanders MJ and McKenna K. 2001. Mosby’s Paramedic Textbook, 2nd revised Ed. Chapter 22, "Head and facial trauma." Mosby.

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