Subdural heamatoma

Subdural haemorrhage

Bleeding is from bridging veins between cortex and venous sinuses, resulting in the accumulation of blood between dura and arachnoid.

Causes

Trauma

Risk factors

Age

Alcohol

Falls

Epilepsy

Anticoagulant therapy.

Clinical features

Fluctuation of conscious level (35%)

Physical and intellectual slowing

Sleepiness

Headache

Personality change

Unsteadiness on feet

Slowly evolving stroke (e.g. hemiparesis)

Symptoms/signs of ICP

Management

Refer to the emergency department in an ambulance