Is considered a type of stroke
Specifically it refers to bleeding into the area around the brain.
Occurs between the dura mater and the inner meningeal layer
Different than epidural hemorrhage which is a tear in the artery
Typically Subdural hemorrhage is a tear in the veins found in the subdural space
Increse in intracranial pressure is common
Caused by trauma
More common than epidural hemorrhage.
Classic finding in 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
- other
****Symptoms can take 2 weeks to be seen – depending on size of bleed and location
*** However, symptoms may show up witin 24 hours
CT and MRI are essential
Neurological examination is important
Treatment
- Monitoring [watch and wait - only on very small bleeds]
- Craniotomy
- Neruosurgery
- Repair of vessels
