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Hematoma, Subdural, Acute

MedGen UID:
155446
•Concept ID:
C0749098
•
Pathologic Function
Synonyms: Acute Subdural Hematoma; Acute Subdural Hematomas; Hematoma, Acute Subdural; Hematomas, Acute Subdural; Hemorrhage, Subdural, Acute; Subdural Hematoma, Acute; Subdural Hematomas, Acute

Definition

Accumulation of blood in the SUBDURAL SPACE with acute onset of neurological symptoms. Symptoms may include loss of consciousness, severe HEADACHE, and deteriorating mental status. [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVHematoma, Subdural, Acute

Professional guidelines

PubMed

Management of acute subdural hematoma in incarcerated patients.
Shahrestani S, Strickland BA, Micko A, Brown NJ, Zada G
Clin Neurol Neurosurg 2021 Feb;201:106441. Epub 2020 Dec 15 doi: 10.1016/j.clineuro.2020.106441. PMID: 33360952
Leakage sign for acute subdural hematoma in clinical treatment.
Yamamoto M, Orito K, Nakamura Y, Takeshige N, Yoshitomi M, Takeuchi Y, Uzu H, Takasu O, Abe T, Tanoue S, Uchiyama Y, Morioka M
Acta Neurochir (Wien) 2019 Feb;161(2):233-238. Epub 2018 Dec 17 doi: 10.1007/s00701-018-3755-x. PMID: 30560375Free PMC Article
Reducing time-to-treatment decreases mortality of trauma patients with acute subdural hematoma.
Tien HC, Jung V, Pinto R, Mainprize T, Scales DC, Rizoli SB
Ann Surg 2011 Jun;253(6):1178-83. doi: 10.1097/SLA.0b013e318217e339. PMID: 21494125

Recent clinical studies

Etiology

New horizons in subdural haematoma.
Rickard F, Gale J, Williams A, Shipway D
Age Ageing 2023 Dec 1;52(12) doi: 10.1093/ageing/afad240. PMID: 38167695
Decompressive Craniectomy versus Craniotomy for Acute Subdural Hematoma.
Hutchinson PJ, Adams H, Mohan M, Devi BI, Uff C, Hasan S, Mee H, Wilson MH, Gupta DK, Bulters D, Zolnourian A, McMahon CJ, Stovell MG, Al-Tamimi YZ, Tewari MK, Tripathi M, Thomson S, Viaroli E, Belli A, King AT, Helmy AE, Timofeev IS, Pyne S, Shukla DP, Bhat DI, Maas AR, Servadei F, Manley GT, Barton G, Turner C, Menon DK, Gregson B, Kolias AG; British Neurosurgical Trainee Research Collaborative, NIHR Global Health Research Group on Acquired Brain and Spine Injury, and RESCUE-ASDH Trial Collaborators; RESCUE-ASDH Trial Collaborators
N Engl J Med 2023 Jun 15;388(24):2219-2229. Epub 2023 Apr 23 doi: 10.1056/NEJMoa2214172. PMID: 37092792
Non-traumatic subdural hemorrhage: beware of ruptured intracranial aneurysm.
Caton MT Jr, Wiggins WF, Nuñez D
Emerg Radiol 2019 Oct;26(5):567-571. Epub 2019 Apr 29 doi: 10.1007/s10140-019-01691-2. PMID: 31037589
Craniotomy Versus Decompressive Craniectomy for Acute Subdural Hematoma: Systematic Review and Meta-Analysis.
Phan K, Moore JM, Griessenauer C, Dmytriw AA, Scherman DB, Sheik-Ali S, Adeeb N, Ogilvy CS, Thomas A, Rosenfeld JV
World Neurosurg 2017 May;101:677-685.e2. Epub 2017 Mar 16 doi: 10.1016/j.wneu.2017.03.024. PMID: 28315797
Surgical management of acute subdural hematomas.
Bullock MR, Chesnut R, Ghajar J, Gordon D, Hartl R, Newell DW, Servadei F, Walters BC, Wilberger JE; Surgical Management of Traumatic Brain Injury Author Group
Neurosurgery 2006 Mar;58(3 Suppl):S16-24; discussion Si-iv. PMID: 16710968

Diagnosis

Management of acute subdural hematoma in incarcerated patients.
Shahrestani S, Strickland BA, Micko A, Brown NJ, Zada G
Clin Neurol Neurosurg 2021 Feb;201:106441. Epub 2020 Dec 15 doi: 10.1016/j.clineuro.2020.106441. PMID: 33360952
Non-traumatic subdural hemorrhage: beware of ruptured intracranial aneurysm.
Caton MT Jr, Wiggins WF, Nuñez D
Emerg Radiol 2019 Oct;26(5):567-571. Epub 2019 Apr 29 doi: 10.1007/s10140-019-01691-2. PMID: 31037589
Craniotomy Versus Decompressive Craniectomy for Acute Subdural Hematoma: Systematic Review and Meta-Analysis.
Phan K, Moore JM, Griessenauer C, Dmytriw AA, Scherman DB, Sheik-Ali S, Adeeb N, Ogilvy CS, Thomas A, Rosenfeld JV
World Neurosurg 2017 May;101:677-685.e2. Epub 2017 Mar 16 doi: 10.1016/j.wneu.2017.03.024. PMID: 28315797
Seizures and Epileptiform Discharges in Patients With Acute Subdural Hematoma.
Pollandt S, Ouyang B, Bleck TP, Busl KM
J Clin Neurophysiol 2017 Jan;34(1):55-60. doi: 10.1097/WNP.0000000000000311. PMID: 27748723
Surgical management of traumatic acute subdural hematoma in adults: a review.
Karibe H, Hayashi T, Hirano T, Kameyama M, Nakagawa A, Tominaga T
Neurol Med Chir (Tokyo) 2014;54(11):887-94. Epub 2014 Oct 31 doi: 10.2176/nmc.cr.2014-0204. PMID: 25367584Free PMC Article

Therapy

New horizons in subdural haematoma.
Rickard F, Gale J, Williams A, Shipway D
Age Ageing 2023 Dec 1;52(12) doi: 10.1093/ageing/afad240. PMID: 38167695
Decompressive Craniectomy versus Craniotomy for Acute Subdural Hematoma.
Hutchinson PJ, Adams H, Mohan M, Devi BI, Uff C, Hasan S, Mee H, Wilson MH, Gupta DK, Bulters D, Zolnourian A, McMahon CJ, Stovell MG, Al-Tamimi YZ, Tewari MK, Tripathi M, Thomson S, Viaroli E, Belli A, King AT, Helmy AE, Timofeev IS, Pyne S, Shukla DP, Bhat DI, Maas AR, Servadei F, Manley GT, Barton G, Turner C, Menon DK, Gregson B, Kolias AG; British Neurosurgical Trainee Research Collaborative, NIHR Global Health Research Group on Acquired Brain and Spine Injury, and RESCUE-ASDH Trial Collaborators; RESCUE-ASDH Trial Collaborators
N Engl J Med 2023 Jun 15;388(24):2219-2229. Epub 2023 Apr 23 doi: 10.1056/NEJMoa2214172. PMID: 37092792
Functional and patient-reported outcome versus in-hospital costs after traumatic acute subdural hematoma (t-ASDH): a neurosurgical paradox?
van Dijck JTJM, van Essen TA, Dijkman MD, Mostert CQB, Polinder S, Peul WC, de Ruiter GCW
Acta Neurochir (Wien) 2019 May;161(5):875-884. Epub 2019 Mar 28 doi: 10.1007/s00701-019-03878-5. PMID: 30923919Free PMC Article
Acute subdural hematoma in patients on oral anticoagulant therapy: management and outcome.
Won SY, Dubinski D, Bruder M, Cattani A, Seifert V, Konczalla J
Neurosurg Focus 2017 Nov;43(5):E12. doi: 10.3171/2017.8.FOCUS17421. PMID: 29088960
Seizures and Epileptiform Discharges in Patients With Acute Subdural Hematoma.
Pollandt S, Ouyang B, Bleck TP, Busl KM
J Clin Neurophysiol 2017 Jan;34(1):55-60. doi: 10.1097/WNP.0000000000000311. PMID: 27748723

Prognosis

New horizons in subdural haematoma.
Rickard F, Gale J, Williams A, Shipway D
Age Ageing 2023 Dec 1;52(12) doi: 10.1093/ageing/afad240. PMID: 38167695
Loss to Follow-up and Unplanned Readmission After Emergent Surgery for Acute Subdural Hematoma.
Guidry BS, Tang AR, Thomas H, Thakkar R, Sermarini A, Dambrino RJ 4th, Yengo-Kahn A, Chambless LB, Morone P, Chotai S
Neurosurgery 2022 Sep 1;91(3):399-405. Epub 2022 Jun 13 doi: 10.1227/neu.0000000000002053. PMID: 35881025
Craniotomy Versus Decompressive Craniectomy for Acute Subdural Hematoma: Systematic Review and Meta-Analysis.
Phan K, Moore JM, Griessenauer C, Dmytriw AA, Scherman DB, Sheik-Ali S, Adeeb N, Ogilvy CS, Thomas A, Rosenfeld JV
World Neurosurg 2017 May;101:677-685.e2. Epub 2017 Mar 16 doi: 10.1016/j.wneu.2017.03.024. PMID: 28315797
Seizures and Epileptiform Discharges in Patients With Acute Subdural Hematoma.
Pollandt S, Ouyang B, Bleck TP, Busl KM
J Clin Neurophysiol 2017 Jan;34(1):55-60. doi: 10.1097/WNP.0000000000000311. PMID: 27748723
Surgical management of traumatic acute subdural hematoma in adults: a review.
Karibe H, Hayashi T, Hirano T, Kameyama M, Nakagawa A, Tominaga T
Neurol Med Chir (Tokyo) 2014;54(11):887-94. Epub 2014 Oct 31 doi: 10.2176/nmc.cr.2014-0204. PMID: 25367584Free PMC Article

Clinical prediction guides

New horizons in subdural haematoma.
Rickard F, Gale J, Williams A, Shipway D
Age Ageing 2023 Dec 1;52(12) doi: 10.1093/ageing/afad240. PMID: 38167695
Decompressive Craniectomy versus Craniotomy for Acute Subdural Hematoma.
Hutchinson PJ, Adams H, Mohan M, Devi BI, Uff C, Hasan S, Mee H, Wilson MH, Gupta DK, Bulters D, Zolnourian A, McMahon CJ, Stovell MG, Al-Tamimi YZ, Tewari MK, Tripathi M, Thomson S, Viaroli E, Belli A, King AT, Helmy AE, Timofeev IS, Pyne S, Shukla DP, Bhat DI, Maas AR, Servadei F, Manley GT, Barton G, Turner C, Menon DK, Gregson B, Kolias AG; British Neurosurgical Trainee Research Collaborative, NIHR Global Health Research Group on Acquired Brain and Spine Injury, and RESCUE-ASDH Trial Collaborators; RESCUE-ASDH Trial Collaborators
N Engl J Med 2023 Jun 15;388(24):2219-2229. Epub 2023 Apr 23 doi: 10.1056/NEJMoa2214172. PMID: 37092792
Functional and patient-reported outcome versus in-hospital costs after traumatic acute subdural hematoma (t-ASDH): a neurosurgical paradox?
van Dijck JTJM, van Essen TA, Dijkman MD, Mostert CQB, Polinder S, Peul WC, de Ruiter GCW
Acta Neurochir (Wien) 2019 May;161(5):875-884. Epub 2019 Mar 28 doi: 10.1007/s00701-019-03878-5. PMID: 30923919Free PMC Article
Surgical management of traumatic acute subdural hematoma in adults: a review.
Karibe H, Hayashi T, Hirano T, Kameyama M, Nakagawa A, Tominaga T
Neurol Med Chir (Tokyo) 2014;54(11):887-94. Epub 2014 Oct 31 doi: 10.2176/nmc.cr.2014-0204. PMID: 25367584Free PMC Article
Surgical management of acute subdural hematomas.
Bullock MR, Chesnut R, Ghajar J, Gordon D, Hartl R, Newell DW, Servadei F, Walters BC, Wilberger JE; Surgical Management of Traumatic Brain Injury Author Group
Neurosurgery 2006 Mar;58(3 Suppl):S16-24; discussion Si-iv. PMID: 16710968

Recent systematic reviews

Comparison of Craniotomy Versus Decompressive Craniectomy for Acute Subdural Hematoma: A Systematic Review and Meta-Analysis.
Yang J, Shen M
World Neurosurg 2024 Aug;188:e194-e206. Epub 2024 May 20 doi: 10.1016/j.wneu.2024.05.081. PMID: 38777321
Prognosis of Acute Subdural Hematoma in the Elderly: A Systematic Review.
Evans LR, Jones J, Lee HQ, Gantner D, Jaison A, Matthew J, Fitzgerald MC, Rosenfeld JV, Hunn MK, Tee JW
J Neurotrauma 2019 Feb 15;36(4):517-522. Epub 2018 Aug 14 doi: 10.1089/neu.2018.5829. PMID: 29943683
Craniotomy Versus Decompressive Craniectomy for Acute Subdural Hematoma: Systematic Review and Meta-Analysis.
Phan K, Moore JM, Griessenauer C, Dmytriw AA, Scherman DB, Sheik-Ali S, Adeeb N, Ogilvy CS, Thomas A, Rosenfeld JV
World Neurosurg 2017 May;101:677-685.e2. Epub 2017 Mar 16 doi: 10.1016/j.wneu.2017.03.024. PMID: 28315797
Treatment of traumatic acute posterior fossa subdural hematoma: report of four cases with systematic review and management algorithm.
de Amorim RL, Stiver SI, Paiva WS, Bor-Seng-Shu E, Sterman-Neto H, de Andrade AF, Teixeira MJ
Acta Neurochir (Wien) 2014 Jan;156(1):199-206. Epub 2013 Sep 6 doi: 10.1007/s00701-013-1850-6. PMID: 24009046
Aneurysm-related subarachnoid hemorrhage and acute subdural hematoma: single-center series and systematic review.
Schuss P, Konczalla J, Platz J, Vatter H, Seifert V, Güresir E
J Neurosurg 2013 May;118(5):984-90. Epub 2013 Jan 4 doi: 10.3171/2012.11.JNS121435. PMID: 23289820

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