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

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