A haemorrhage between the arachnoid and dura mater. It can be acute, chronic, or acute on chronic. Most cases are chronic, and occur in the elderly after mild trauma (e.g. a fall). Usually a venous bleed. Epidemiology and aetiology Elderly Hypertension Falls (e.g. in epilepsy and alcohol abuse) Anticoagulant therapy Pathology Vast majority due to trauma, but sometimes can be caused by ↑ICP and brain mets.
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over 7 years ago
Internal medicine on Instagram: “Non contrast head CT demonstrates a traumatic acute subdural hematoma over the left hemisphere and a smaller subacute subdural hematoma…”
“Non contrast head CT demonstrates a traumatic acute subdural hematoma over the left hemisphere and a smaller subacute subdural hematoma over the right…”
about 7 years ago
Case#1: A 45 year-old man helmeted motorcyclist struck by van, negative loss of consciousness, and currently GCS 15 and appropriate but complaining of headache. CT scan shows a small, lenticular hematoma along the left-parietal extradural space consistent with acute epidural hematoma. It measures 9 mm at the greatest and there is no appreciable midline shift. What is the most appropriate neurosurgical intervention?
over 6 years ago
A 4 y female arrives to ED accompanied by mother after witnessed mechanical fall off out of stroller (approximately 3.5 feet high) with head hitting linoleum floor. Mom states that the child cried immediately afterwards and never experienced LOC. Denies n/v. Now acting normally. Physical exam is remarkable only for a small, left parietal scalp hematoma, but no laceration. Neurologic exam is WNL. With the provided information what should be your next step? Discharge home? Observe the patient? CT head?
about 6 years ago
Prepare for USMLE,UK,CANADIAN,AUSTRALIAN, NURSING & OTHER MEDICAL BOARD examinations around the globe with us.Understand the basics, concepts and how to answ...
almost 6 years ago