Subdural Hemorrhage is bleeding into a specific area around the Brain.
It occurs between the Dura mater and the Inner meningeal layer.
It is fundamentally different than Epidural Hemorrhage which is a tear in the artery that leads to bleeding in the brain.
Typically Subdural hemorrhage is a tear in the veins found in the subdural space.
Increase in intracranial pressure is common and a serious consequence.
Subdural bleeding (Hemorrhage) is somewhat more common than Epidural Hemorrhage.
Classic findings in a case of Shaken baby syndrome.
- Loss of consciousness
- Change in personality
- Change in movement and speech
- Changes in vision
- Abnormal movement of eyes
*** However, symptoms may show up within 24 hours
Physical exam is essential
Pupillary changes can be seen
CT and MRI are essential
Neurological examination is important
- Monitoring [watch and wait – only on very small bleeds]
- Repair of vessels