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subdural hematoma
 

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

Symptoms may include:

 

  • dilated, nonreactive pupil ipsilateral to the hematoma
  • hemiparesis contralateral to the hematoma
  • balance problems
  • altered level of consciousness
 
Causes

Causes may include:

 

 
Treatments

Treatment may include:

 

  • supportive treatment
  • wound care
  • fresh frozen plasma - corrects coagulation
  • adequate hydration
  • surgery
  • bed rest
  • medication

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Robert Wood Johnson University Hospital Hamilton Hamilton. Phone: 609-586-7900 Physician Referral: 609-584-5900.

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