Layers of brainSubdural 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.

Caused by trauma or lead to one type of Stroke called a Hemorrhagic Stroke.

Subdural bleeding (Hemorrhage) is somewhat more common than Epidural Hemorrhage.

Classic findings in a case of Shaken baby syndrome.

Symptoms:

  • Nausea
  • Vomiting
  • Headache
  • Dizziness
  • Loss of consciousness
  • Pain
  • Change in personality
  • Change in movement and speech
  • Confusion
  • Changes in vision
  • Weakness
  • Abnormal movement of eyes
  • Seizures
  • Anger
  • others

subdural****Symptoms can take 2 weeks to be seen – depending on size of bleed and location

*** However, symptoms may show up within 24 hours

Diagnosis

Physical exam is essential

Pupillary changes can be seen

CT and MRI are essential

Neurological examination is important

Treatment

  • Monitoring [watch and wait – only on very small bleeds]
  • Craniotomy
  • Neruosurgery
  • Repair of vessels
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