Emergency Management of Subdural Hematoma
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 70, Issue 9
Abstract
<strong>Background:</strong> subdural hematoma is extra-cerebral accumulation of blood between the dura matter and the subarachnoid layer. It is almost always caused by trauma or due to blood thinning therapies and occurs due to rupture of bridging veins. Acute subdural hematoma is an emergency situation and requires prompt diagnosis using CT most of the time and management requires surgery as well as reversal of anticoagulants.<br /> <strong>Aim of the work:</strong> In this review, we aimed to study the etiology of subdural hematoma, explore how to diagnoses and manage it in the emergency department. <strong>Methodology:</strong> we conducted this review using a comprehensive search of MEDLINE, PubMed and EMBASE, from January 1985 to February 2017.<br /> <strong>Results:</strong> surgery is most important intervention in managing subdural hematomas. <strong>Conclusion:</strong> subdural hematoma is an important clinical presentation that needs proper and prompt surgical management and treatment. Treatment should be as less invasive as possible, with higher efficacy and lower recurrence rates. No-surgical approaches are still being studied with no proven efficacy for them until now.
Authors and Affiliations
Eman Helal
Keywords
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