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Evolving Subdural Hematoma
Charles Raybaud, MD, FRCPC; A. James Barkovich, MD
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KEY FACTS

  • Imaging

    • Pathology

      • Clinical Issues

        TERMINOLOGY

        • Abbreviations

          • Evolving subdural hematoma (SDH)
        • Definitions

          • Diverse presentations of SDH according to timing, dilution, recurrence of bleed

        IMAGING

        • General Features

          • CT Findings

            • MR 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

                                  Selected References

                                  1. Foster KA et al: Factors associated with hemispheric hypodensity after subdural hematoma following abusive head trauma in children. J Neurotrauma. Epub ahead of print, 2014
                                  2. Sieswerda-Hoogendoorn T et al: Age determination of subdural hematomas with CT and MRI: A systematic review. Eur J Radiol. 83(7):1257-1268, 2014
                                  3. Bradford R et al: Serial neuroimaging in infants with abusive head trauma: timing abusive injuries. J Neurosurg Pediatr. 12(2):110-9, 2013
                                  4. Chotai S et al: Brain herniation induced by drainage of subdural hematoma in spontaneous intracranial hypotension. Asian J Neurosurg. 8(2):112-5, 2013
                                  5. McKeag H et al: Subdural hemorrhage in pediatric patients with enlargement of the subarachnoid spaces. J Neurosurg Pediatr. 11(4):438-44, 2013
                                  6. Son S et al: Natural course of initially non-operated cases of acute subdural hematoma : the risk factors of hematoma progression. J Korean Neurosurg Soc. 54(3):211-9, 2013
                                  7. Hobbs C et al: Subdural haematoma and effusion in infancy: an epidemiological study. Arch Dis Child. 90(9):952-5, 2005
                                  8. Vinchon M et al: Imaging of head injuries in infants: temporal correlates and forensic implications for the diagnosis of child abuse. J Neurosurg. 101(1 Suppl):44-52, 2004
                                  9. Hymel KP et al: Intracranial hemorrhage and rebleeding in suspected victims of abusive head trauma: addressing the forensic controversies. Child Maltreat. 7(4):329-48, 2002
                                  10. Loh JK et al: Acute subdural hematoma in infancy. Surg Neurol. 58(3-4):218-24, 2002
                                  11. Feldman KW et al: The cause of infant and toddler subdural hemorrhage: a prospective study. Pediatrics. 108(3):636-46, 2001
                                  12. Lee KS et al: The fate of traumatic subdural hygroma in serial computed tomographic scans. J Korean Med Sci. 15(5):560-8, 2000
                                  13. 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
                                  14. Sharma RR et al: Symptomatic calcified subdural hematomas. Pediatr Neurosurg. 31(3):150-4, 1999
                                  15. Dias MS et al: Serial radiography in the infant shaken impact syndrome. Pediatr Neurosurg. 29(2):77-85, 1998
                                  16. Fujisawa H et al: Serum protein exudation in chronic subdural haematomas: a mechanism for haematoma enlargement? Acta Neurochir (Wien). 140(2):161-5; discussion 165-6, 1998
                                  17. Lee KS et al: The computed tomographic attenuation and the age of subdural hematomas. J Korean Med Sci. 12(4):353-9, 1997
                                  18. Park CK et al: Spontaneous evolution of posttraumatic subdural hygroma into chronic subdural haematoma. Acta Neurochir (Wien). 127(1-2):41-7, 1994
                                  19. Destian S et al: Differentiation between meningeal fibrosis and chronic subdural hematoma after ventricular shunting: value of enhanced CT and MR scans. AJNR Am J Neuroradiol. 10(5):1021-6, 1989
                                  20. Ohno K et al: Role of traumatic subdural fluid collection in developing process of chronic subdural hematoma. Bull Tokyo Med Dent Univ. 33(3):99-106, 1986
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Imaging

                                    • Pathology

                                      • Clinical Issues

                                        TERMINOLOGY

                                        • Abbreviations

                                          • Evolving subdural hematoma (SDH)
                                        • Definitions

                                          • Diverse presentations of SDH according to timing, dilution, recurrence of bleed

                                        IMAGING

                                        • General Features

                                          • CT Findings

                                            • MR 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

                                                                  Selected References

                                                                  1. Foster KA et al: Factors associated with hemispheric hypodensity after subdural hematoma following abusive head trauma in children. J Neurotrauma. Epub ahead of print, 2014
                                                                  2. Sieswerda-Hoogendoorn T et al: Age determination of subdural hematomas with CT and MRI: A systematic review. Eur J Radiol. 83(7):1257-1268, 2014
                                                                  3. Bradford R et al: Serial neuroimaging in infants with abusive head trauma: timing abusive injuries. J Neurosurg Pediatr. 12(2):110-9, 2013
                                                                  4. Chotai S et al: Brain herniation induced by drainage of subdural hematoma in spontaneous intracranial hypotension. Asian J Neurosurg. 8(2):112-5, 2013
                                                                  5. McKeag H et al: Subdural hemorrhage in pediatric patients with enlargement of the subarachnoid spaces. J Neurosurg Pediatr. 11(4):438-44, 2013
                                                                  6. Son S et al: Natural course of initially non-operated cases of acute subdural hematoma : the risk factors of hematoma progression. J Korean Neurosurg Soc. 54(3):211-9, 2013
                                                                  7. Hobbs C et al: Subdural haematoma and effusion in infancy: an epidemiological study. Arch Dis Child. 90(9):952-5, 2005
                                                                  8. Vinchon M et al: Imaging of head injuries in infants: temporal correlates and forensic implications for the diagnosis of child abuse. J Neurosurg. 101(1 Suppl):44-52, 2004
                                                                  9. Hymel KP et al: Intracranial hemorrhage and rebleeding in suspected victims of abusive head trauma: addressing the forensic controversies. Child Maltreat. 7(4):329-48, 2002
                                                                  10. Loh JK et al: Acute subdural hematoma in infancy. Surg Neurol. 58(3-4):218-24, 2002
                                                                  11. Feldman KW et al: The cause of infant and toddler subdural hemorrhage: a prospective study. Pediatrics. 108(3):636-46, 2001
                                                                  12. Lee KS et al: The fate of traumatic subdural hygroma in serial computed tomographic scans. J Korean Med Sci. 15(5):560-8, 2000
                                                                  13. 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
                                                                  14. Sharma RR et al: Symptomatic calcified subdural hematomas. Pediatr Neurosurg. 31(3):150-4, 1999
                                                                  15. Dias MS et al: Serial radiography in the infant shaken impact syndrome. Pediatr Neurosurg. 29(2):77-85, 1998
                                                                  16. Fujisawa H et al: Serum protein exudation in chronic subdural haematomas: a mechanism for haematoma enlargement? Acta Neurochir (Wien). 140(2):161-5; discussion 165-6, 1998
                                                                  17. Lee KS et al: The computed tomographic attenuation and the age of subdural hematomas. J Korean Med Sci. 12(4):353-9, 1997
                                                                  18. Park CK et al: Spontaneous evolution of posttraumatic subdural hygroma into chronic subdural haematoma. Acta Neurochir (Wien). 127(1-2):41-7, 1994
                                                                  19. Destian S et al: Differentiation between meningeal fibrosis and chronic subdural hematoma after ventricular shunting: value of enhanced CT and MR scans. AJNR Am J Neuroradiol. 10(5):1021-6, 1989
                                                                  20. Ohno K et al: Role of traumatic subdural fluid collection in developing process of chronic subdural hematoma. Bull Tokyo Med Dent Univ. 33(3):99-106, 1986