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Subdural hematoma

Última revisão: 19 Mar 2025
Última atualização: 13 Jul 2023

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • evidence of trauma
  • headache
  • nausea/vomiting
  • diminished eye response
  • diminished verbal response
  • diminished motor response
  • confusion
Detalhes completos

Outros fatores diagnósticos

  • loss of consciousness/decreased alertness
  • seizure
  • loss of bowel and bladder continence
  • localized weakness
  • sensory changes
  • cognition changes
  • speech or vision changes
  • otorrhea
  • rhinorrhea
Detalhes completos

Fatores de risco

  • recent trauma
  • coagulopathy and anticoagulant use
  • advanced age (>65 years)
Detalhes completos

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • noncontrast CT scan
Detalhes completos

Investigações a serem consideradas

  • MRI scan
  • plain skull x-ray
Detalhes completos

Algoritmo de tratamento

AGUDA

acute hematoma

with ventriculoperitoneal shunt

CONTÍNUA

chronic hematoma

Colaboradores

Autores

Christopher P. Robinson, DO, MS

Associate Professor of Neurology and Neurosurgery

Division of Neurocritical Care

Director

Shands Neuromedicine Intensive Care Unit

Program Director

NCC Fellowship

Neurology Clerkship Director

University of Florida College of Medicine

Florida

FL

Declarações

CPR has received compensation for serving as an expert witness.

Agradecimentos

Dr Christopher P. Robinson would like to gratefully acknowledge Dr Andrew W. Grande, Dr Stephen J. Haines, Dr Praveen R. Baimeedi, Dr Jason S. Hauptma, and Dr Neil A. Martin, previous contributors to this topic.

Declarações

AWG, SJH, PRB, JSH, and NAM declare that they have no competing interests.

Revisores

Nathan J. Ranalli, MD

Resident

Department of Neurosurgery

University of Pennsylvania School of Medicine

Philadelphia

PA

Declarações

NJR declares that he has no competing interests.

Marek Ma, MD

Instructor

Emergency Medicine

Department of Emergency Medicine Administrative Offices

University of Pennsylvania

Philadelphia

PA

Declarações

MM declares that he has no competing interests.

  • Subdural hematoma images
  • Diagnósticos diferenciais

    • Epidural hematoma
    • Intracerebral hematoma
    • Diffuse axonal injury
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  • Diretrizes

    • Head injury: assessment and early management
    • ACR appropriateness criteria: head trauma
    Mais Diretrizes
  • Calculadoras

    Glasgow Coma Scale

    Canadian CT Head Rule

    Mais Calculadoras
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