(Extra-axial Haematoma; Subdural Haemorrhage; SDH)
|Copyright © Nucleus Medical Media, Inc.|
- Being of advanced age (due to greater risk of falls and weaker blood vessels)
- Playing high-impact sports
- Taking blood thinning medication
- Having atrial fibrillation
- Having a history of heart attack
- Abusing alcohol or drugs
- Being physically abused
- Acute—symptoms appear soon after the injury
- Subacute—symptoms appear a few days after the injury
- Chronic—bleeding is slower and symptoms only appear weeks after the injury
- Loss of consciousness
- Bruising around the head or eyes
- Nausea or vomiting
- Personality changes
- Limb weakness
- Speech difficulties
- Visual impairment
- Neurological examination
- EEG (electroencephalogram)—a noninvasive test used to evaluate brain function
Monitor and Observe
- How your recovery is progressing
- If you are ready to return to high-impact activities
- Antiseizure medication—if seizures have occurred
- Steroids—to decrease brain swelling.
- A small hole may be made in the scalp and skull. It will allow the blood clot to drain out of the skull.
- A section of the skull may be removed. This is called a craniotomy.
- Wear proper helmets when playing sports and riding a bike or motorcycle.
- Use a seat belt while traveling in car.
- Reduce the risk of a fall or injury. Safeguard your home and workplace.
- Have regular blood tests if you are taking blood thinning medicine.
Limit your alcohol intake to a moderate level. This means:
- Two or fewer drinks per day for men
- One or fewer drinks per day for women
American Academy of Neurology http://www.aan.com/
American Academy of Otolaryngology, Head and Neck Surgery http://www.entnet.org/
Brain Injury Association of America http://www.biausa.org/
The Brain Injury Association of Canada http://biac-aclc.ca/
Ontario Brain Injury Association http://www.obia.on.ca/
Chronic and subacute subdural hematoma. Barnabas Health website. Available at: http://www.barnabashealth.org/services/neuro/neurosurgery/surgery/brain/hematoma.html . Accessed November 12, 2012.
Servadei F, Compagnone C, Sahuquillo J. The role of surgery in traumatic brain injury. Curr Opin Crit Care. 2007;13:163-168.
Subdural hematoma. EBSCO Dynamed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated October 22, 2012. Accessed November 12, 2012.
Subdural haematoma. Patient UK website. Available at: http://www.patient.co.uk/showdoc/27001513/ . Updated March 2009. Accessed November 12, 2012.
Acute subdural hematomas. UCLA Neurosurgery website. Available at: http://neurosurgery.ucla.edu/body.cfm?id=102 . Accessed November 12, 2012.
- Reviewer: Michael Woods, MD
- Review Date: 11/2012 -
- Update Date: 11/26/2012 -