Delayed Acute Subdural Hematoma

Authors: R. Kaiser 1;  E. Zvěřina 1;  J. Pachl 2;  P. Haninec 1
Authors‘ workplace: 3. LF UK a FN Královské Vinohrady, Praha Neurochirurgická klinika 1;  3. LF UK a FN Královské Vinohrady, Praha Klinika anesteziologie a resuscitace 2
Published in: Cesk Slov Neurol N 2011; 74/107(4): 455-458
Category: Short Communication


The development of acute subdural haematoma occurs typically soon after a head trauma and its presence shows on CT scan immediately after admission. Spontaneous haematomas are also described, especially those associated with coagulopathies, as well as delayed haema­tomas occurring with latency after a known head injury. A group of 116 patients who had suffered from acute subdural haemorrhage was analyzed retrospectively. Most of them (96.6%) were operated upon soon after admission. In four cases (3.4%), a deterioration of clinical status occurred after an interval of 1–4 days. Second CT scans revealed the development of delayed acute subdural haemorrhage and all of them were operated upon immedia­tely. The first CT was negative only in one case; subarachnoid haemorrhage or skull fracture was found in three cases. Two patients were given warfarin, one was thrombocytopenic and another had serious hepatic coagulopathy.

Key words:
delayed subdural hematoma – spontaneous subdural hematoma – acute subdural hematoma


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Paediatric neurology Neurosurgery Neurology

Article was published in

Czech and Slovak Neurology and Neurosurgery

2011 Issue 4

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