Chronic Subdural Hematoma Quiz

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Reviewed By:

Kenji Taylor, MD, MSc

Kenji Taylor, MD, MSc (Family Medicine, Primary Care)

Dr. Taylor is a Japanese-African American physician who grew up and was educated in the United States but spent a considerable amount of time in Japan as a college student, working professional and now father of three. After graduating from Brown, he worked in finance first before attending medical school at Penn. He then completed a fellowship with the Centers for Disease Control before going on to specialize in Family and Community Medicine at the University of California, San Francisco (UCSF) where he was also a chief resident. After a faculty position at Stanford, he moved with his family to Japan where he continues to see families on a military base outside of Tokyo, teach Japanese residents and serve remotely as a medical director for Roots Community Health Center. He also enjoys editing and writing podcast summaries for Hippo Education.

Shohei Harase, MD

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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Content updated on Mar 31, 2024

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  • My eyes hurt when i move them

  • Antisocial behavior and language difficulty

  • Double vision in one eye

  • My vision is not clear

  • Can't say what I want to say

  • Double vision when looking with one eye closed

  • Abnormal gait

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What is Chronic Subdural Hematoma?

This refers to blood collecting in the space between the brain and the brain's outer covering (dura). It can be caused by even minor injuries or bumps to the head, particularly in those who are at increased risk. Older adults and those on certain blood-thinning medications or with bleeding disorders are at higher risk. Some people will have no or few symptoms but can develop more symptoms (confusion, headaches, personality changes) if it expands.

Typical Symptoms of Chronic Subdural Hematoma

  • Double vision

  • Speech that does not make sense, or behavior that is strange

  • Unable to speak, although I understand what people are saying

  • History of dementia

  • Difficulty in walking

  • Concentration is getting worse

  • Recent changes in mental state

  • Blind spots or blind areas in vision

Doctor's Diagnostic Questionson Chronic Subdural Hematoma

Your doctor may ask these questions to check for this disease:

  • Do you see double?

  • Do others think you speak incoherently or act irrationally?

  • Can you understand others but struggle to express yourself clearly?

  • Have you been diagnosed with dementia?

  • Is walking difficult for you?

Treatmentof Chronic Subdural Hematoma

Chronic subdural hematoma may be treated medically or surgically depending on symptoms and patient-specific factors in consultation with a neurosurgeon.

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References

  • Yang W, Huang J. Chronic Subdural Hematoma: Epidemiology and Natural History. Neurosurg Clin N Am. 2017 Apr;28(2):205-210. doi: 10.1016/j.nec.2016.11.002. Epub 2017 Feb 1. PMID: 28325454.

    https://www.sciencedirect.com/science/article/pii/S1042368016300997?via%3Dihub

  • Feghali J, Yang W, Huang J. Updates in Chronic Subdural Hematoma: Epidemiology, Etiology, Pathogenesis, Treatment, and Outcome. World Neurosurg. 2020 Sep;141:339-345. doi: 10.1016/j.wneu.2020.06.140. Epub 2020 Jun 25. PMID: 32593768.

    https://www.sciencedirect.com/science/article/abs/pii/S187887502031398X?via%3Dihub

  • Májovský M, Netuka D. Chronic subdural hematoma - review article. Rozhl Chir. 2018 Spring;97(6):253-257. English. PMID: 30442003.

    https://www.prolekare.cz/en/specialist-agreement

  • Sahyouni R, Goshtasbi K, Mahmoodi A, Tran DK, Chen JW. Chronic Subdural Hematoma: A Historical and Clinical Perspective. World Neurosurg. 2017 Dec;108:948-953. doi: 10.1016/j.wneu.2017.09.064. Epub 2017 Sep 19. PMID: 28935548.

    https://www.sciencedirect.com/science/article/abs/pii/S1878875017315711?via%3Dihub

  • Ban SP, Hwang G, Byoun HS, Kim T, Lee SU, Bang JS, Han JH, Kim CY, Kwon OK, Oh CW. Middle Meningeal Artery Embolization for Chronic Subdural Hematoma. Radiology. 2018 Mar;286(3):992-999. doi: 10.1148/radiol.2017170053. Epub 2017 Oct 10. PMID: 29019449.

    https://pubs.rsna.org/doi/10.1148/radiol.2017170053

User Testimonials

Reviewed By:

Kenji Taylor, MD, MSc

Kenji Taylor, MD, MSc (Family Medicine, Primary Care)

Dr. Taylor is a Japanese-African American physician who grew up and was educated in the United States but spent a considerable amount of time in Japan as a college student, working professional and now father of three. After graduating from Brown, he worked in finance first before attending medical school at Penn. He then completed a fellowship with the Centers for Disease Control before going on to specialize in Family and Community Medicine at the University of California, San Francisco (UCSF) where he was also a chief resident. After a faculty position at Stanford, he moved with his family to Japan where he continues to see families on a military base outside of Tokyo, teach Japanese residents and serve remotely as a medical director for Roots Community Health Center. He also enjoys editing and writing podcast summaries for Hippo Education.

Shohei Harase, MD

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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