Acute Subdural Hematoma Quiz

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Reviewed By:

Maxwell J. Nanes

Maxwell J. Nanes, DO (Emergency department)

Dr Nanes received a doctorate from the Chicago College of Osteopathic Medicine and went on to complete a residency in emergency medicine at the Medical College of Wisconsin. There he trained at Froedtert Hospital and Children's Hospital of Wisconsin in the practice of adult and pediatric emergency medicine. He was a chief resident and received numerous awards for teaching excellence during his time there. | | After residency he took a job at a community hospital where he and his colleagues worked through the toughest days of the COVID-19 pandemic. |

Shohei Harase

Shohei Harase, MD (Neurology)

Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.

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People with these symptoms also use Ubie's symptom checker to find possible causes

  • Head injury after falling down from a standing height

  • Head injury after hitting a truck / car / lorry

  • Head injury caused by falling off a motorcycle

  • My skull is has a sunken area where it was hit

  • Falling off my bicycle and hit my head

  • The fall was from higher than 1 meter

  • HIt in the head

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Learn more about Acute subdural hematoma

Content updated on Sep 20, 2022

What is acute subdural hematoma?

Acute subdural hematoma is accumulation of blood between the brain and its outermost covering and can be a medical emergency. It’s usually caused by a head injury. Older Age, blood-thinning drugs and alcohol abuse can increase the risk.

Symptoms of acute subdural hematoma

  • Injury to the head

  • My brain is not functioning right now

  • Pain over the temples

  • Insect sting or injury from animals

  • Currently undergoing chemotherapy

  • Falling frequently

  • Headache

  • Nausea or vomiting

Questions your doctor may ask to check for acute subdural hematoma

Your doctor may ask these questions to diagnose acute subdural hematoma

  • Did you hit your head?

  • Do you have problems focusing or a reduced sense of awareness in your surroundings?

  • Do you have pain around your temples?

  • Have you been bitten, scratched, stung by bugs (ex. bees) or animals (ex. dogs, cats, wild animals)

  • Are you currently on chemotherapy?

Treatment for acute subdural hematoma

Small or asymptomatic acute subdural hematomas may not need treatment beyond close monitoring. Blood thinners are stopped or their effect is counteracted with special medications. For severe cases, surgery is often required. Antiseizure medications are given if seizures are present.

View the symptoms of Acute subdural hematoma

References

  • Vega RA, Valadka AB. Natural History of Acute Subdural Hematoma. Neurosurg Clin N Am. 2017 Apr;28(2):247-255. doi: 10.1016/j.nec.2016.11.007. Epub 2017 Jan 30. PMID: 28325459.

    https://www.sciencedirect.com/science/article/pii/S1042368016301048?via%3Dihub

  • Karibe H, Hayashi T, Hirano T, Kameyama M, Nakagawa A, Tominaga T. Surgical management of traumatic acute subdural hematoma in adults: a review. Neurol Med Chir (Tokyo). 2014;54(11):887-94. doi: 10.2176/nmc.cr.2014-0204. Epub 2014 Oct 31. PMID: 25367584; PMCID: PMC4533344.

    https://www.jstage.jst.go.jp/article/nmc/54/11/54_cr.2014-0204/_article

  • Phan K, Moore JM, Griessenauer C, Dmytriw AA, Scherman DB, Sheik-Ali S, Adeeb N, Ogilvy CS, Thomas A, Rosenfeld JV. Craniotomy Versus Decompressive Craniectomy for Acute Subdural Hematoma: Systematic Review and Meta-Analysis. World Neurosurg. 2017 May;101:677-685.e2. doi: 10.1016/j.wneu.2017.03.024. Epub 2017 Mar 16. PMID: 28315797.

    https://www.sciencedirect.com/science/article/abs/pii/S1878875017303364?via%3Dihub

  • Sagher O. Acute subdural hematoma. J Neurosurg. 2011 Oct;115(4):842; discussion 842-3. doi: 10.3171/2011.5.JNS11753. Epub 2011 Jun 17. PMID: 21682564.

    https://thejns.org/view/journals/j-neurosurg/115/4/article-p842.xml

Reviewed By:

Maxwell J. Nanes

Maxwell J. Nanes, DO (Emergency department)

Dr Nanes received a doctorate from the Chicago College of Osteopathic Medicine and went on to complete a residency in emergency medicine at the Medical College of Wisconsin. There he trained at Froedtert Hospital and Children's Hospital of Wisconsin in the practice of adult and pediatric emergency medicine. He was a chief resident and received numerous awards for teaching excellence during his time there. | | After residency he took a job at a community hospital where he and his colleagues worked through the toughest days of the COVID-19 pandemic. |

Shohei Harase

Shohei Harase, MD (Neurology)

Dr. Harase spent his junior and senior high school years in Finland and the U.S. After graduating from the University of Washington (Bachelor of Science, Molecular and Cellular Biology), he worked for Apple Japan Inc. before entering the University of the Ryukyus School of Medicine. He completed his residency at Okinawa Prefectural Chubu Hospital, where he received the Best Resident Award in 2016 and 2017. In 2021, he joined the Department of Cerebrovascular Medicine at the National Cerebral and Cardiovascular Center, specializing in hyperacute stroke.

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