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Diseases & Conditions
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Subdural hematoma is a meningeal hemorrhage resulting from accumulation of blood in subdural space that may result from blunt impact to the skull and cause a tear in connecting veins (rarely, arteries) in the cerebral cortex. A chronic subdural hematoma begins as a separation in the dura-arachnoid interface which is then filled by cerebrospinal fluid causing new vessels grow into the membrane and hemorrhage.
Symptoms may include:
- dilated, nonreactive pupil ipsilateral to the hematoma
- hemiparesis contralateral to the hematoma
- balance problems
- altered level of consciousness
Treatment may include:
- supportive treatment
- wound care
- fresh frozen plasma - corrects coagulation
- adequate hydration
- surgery
- bed rest
- medication
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