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:[1][2][3]
- Elderly
- Head trauma
- Anticoagulant use
- Alcohol abuse
- Cocaine abuse
- Seizure
- Parkinson
- CSF shunt
- Arachnoid cyst
- Roller coaster
- ADPKD
- Osteogenesis imperfecta
- Fabry's disease
- Mucopolysaccharidosis IIIB
- Type B Niemann–Pick disease
Common Symptoms
Common symptoms of acute subdural hematoma include:[4][5]
- 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:[6][7]
- 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.[8]
Less Common Symptoms
Less common symptoms of acute subdural hematoma include:
Less common symptoms of acute subdural hematoma include:
References
- ↑ Mori, Kentaro; Yamamoto, Takuji; Horinaka, Naoaki; Maeda, Minoru (2002). "Arachnoid Cyst Is a Risk Factor for Chronic Subdural Hematoma in Juveniles: Twelve Cases of Chronic Subdural Hematoma Associated with Arachnoid Cyst". Journal of Neurotrauma. 19 (9): 1017–1027. doi:10.1089/089771502760341938. ISSN 0897-7151.
- ↑ Blount, Jeffrey P.; Campbell, John A.; Haines, Stephen J. (1993). "Complications in Ventricular Cerebrospinal Fluid Shunting". Neurosurgery Clinics of North America. 4 (4): 633–656. doi:10.1016/S1042-3680(18)30556-4. ISSN 1042-3680.
- ↑ McCullough, David C.; Fox, John L. (1974). "Negative intracranial pressure hydrocephalus in adults with shunts and its relationship to the production of subdural hematoma". Journal of Neurosurgery. 40 (3): 372–375. doi:10.3171/jns.1974.40.3.0372. ISSN 0022-3085.
- ↑ 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.
- ↑ Fogelholm, Rainer; Heiskanen, Olli; Waltimo, Olli (1975). "Chronic subdural hematoma in adults". Journal of Neurosurgery. 42 (1): 43–46. doi:10.3171/jns.1975.42.1.0043. ISSN 0022-3085.
- ↑ 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.