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Acute Subdural Hematoma
Bronwyn E. Hamilton, MD; Anne G. Osborn, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Acute subdural hematoma (aSDH)
            • Definitions

              • Acute blood in or between inner border cell layer of dura and arachnoid

            IMAGING

            • General Features

              • CT Findings

                • MR Findings

                  • Angiographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          • Reporting Tips

                                            Selected References

                                            1. Godlewski B et al: Retrospective analysis of operative treatment of a series of 100 patients with subdural hematoma. Neurol Med Chir (Tokyo). 53(1):26-33, 2013
                                            2. McLean LA et al: Does intracranial venous thrombosis cause subdural hemorrhage in the pediatric population? AJNR Am J Neuroradiol. 33(7):1281-4, 2012
                                            3. Oyama H et al: Acute subdural hematoma in patients with medication associated with risk of hemorrhage. Neurol Med Chir (Tokyo). 51(12):825-8, 2011
                                            4. Chieregato A et al: Hyperemia beneath evacuated acute subdural hematoma is frequent and prolonged in patients with an unfavorable outcome: a xe-computed tomographic study. Neurosurgery. 64(4):705-17; discussion 717-8, 2009
                                            5. Kim KH: Predictors for functional recovery and mortality of surgically treated traumatic acute subdural hematomas in 256 patients. J Korean Neurosurg Soc. 45(3):143-50, 2009
                                            6. Sawauchi S et al: The effect of haematoma, brain injury, and secondary insult on brain swelling in traumatic acute subdural haemorrhage. Acta Neurochir (Wien). 150(6):531-6; discussion 536, 2008
                                            7. Tallon JM et al: The epidemiology of surgically treated acute subdural and epidural hematomas in patients with head injuries: a population-based study. Can J Surg. 51(5):339-45, 2008
                                            8. Yuh EL et al: Computer-aided assessment of head computed tomography (CT) studies in patients with suspected traumatic brain injury. J Neurotrauma. 25(10):1163-72, 2008
                                            9. Hlatky R et al: Evolution of brain tissue injury after evacuation of acute traumatic subdural hematomas. Neurosurgery. 61(1 Suppl):249-54; discussion 254-5, 2007
                                            10. Mori K et al: Delayed magnetic resonance imaging with GdD-DTPA differentiates subdural hygroma and subdural effusion. Surg Neurol. 53(4):303-10; discussion 310-1, 2000
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Abbreviations

                                                        • Acute subdural hematoma (aSDH)
                                                      • Definitions

                                                        • Acute blood in or between inner border cell layer of dura and arachnoid

                                                      IMAGING

                                                      • General Features

                                                        • CT Findings

                                                          • MR Findings

                                                            • Angiographic Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Gross Pathologic & Surgical Features

                                                                      • Microscopic Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Demographics

                                                                            • Natural History & Prognosis

                                                                              • Treatment

                                                                                DIAGNOSTIC CHECKLIST

                                                                                • Consider

                                                                                  • Image Interpretation Pearls

                                                                                    • Reporting Tips

                                                                                      Selected References

                                                                                      1. Godlewski B et al: Retrospective analysis of operative treatment of a series of 100 patients with subdural hematoma. Neurol Med Chir (Tokyo). 53(1):26-33, 2013
                                                                                      2. McLean LA et al: Does intracranial venous thrombosis cause subdural hemorrhage in the pediatric population? AJNR Am J Neuroradiol. 33(7):1281-4, 2012
                                                                                      3. Oyama H et al: Acute subdural hematoma in patients with medication associated with risk of hemorrhage. Neurol Med Chir (Tokyo). 51(12):825-8, 2011
                                                                                      4. Chieregato A et al: Hyperemia beneath evacuated acute subdural hematoma is frequent and prolonged in patients with an unfavorable outcome: a xe-computed tomographic study. Neurosurgery. 64(4):705-17; discussion 717-8, 2009
                                                                                      5. Kim KH: Predictors for functional recovery and mortality of surgically treated traumatic acute subdural hematomas in 256 patients. J Korean Neurosurg Soc. 45(3):143-50, 2009
                                                                                      6. Sawauchi S et al: The effect of haematoma, brain injury, and secondary insult on brain swelling in traumatic acute subdural haemorrhage. Acta Neurochir (Wien). 150(6):531-6; discussion 536, 2008
                                                                                      7. Tallon JM et al: The epidemiology of surgically treated acute subdural and epidural hematomas in patients with head injuries: a population-based study. Can J Surg. 51(5):339-45, 2008
                                                                                      8. Yuh EL et al: Computer-aided assessment of head computed tomography (CT) studies in patients with suspected traumatic brain injury. J Neurotrauma. 25(10):1163-72, 2008
                                                                                      9. Hlatky R et al: Evolution of brain tissue injury after evacuation of acute traumatic subdural hematomas. Neurosurgery. 61(1 Suppl):249-54; discussion 254-5, 2007
                                                                                      10. Mori K et al: Delayed magnetic resonance imaging with GdD-DTPA differentiates subdural hygroma and subdural effusion. Surg Neurol. 53(4):303-10; discussion 310-1, 2000