Pitfalls in the diagnosis of subdural hemorrhage – Mimics and uncommon causes

Bordia, Ritu; Le, Megan; Behbahani, Siavash

doi:10.1016/j.jocn.2021.02.006

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2022

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“…An acute-on-chronic is when an “old” collection of blood and blood breakdown products lead to acute subdural bleeding with even minor trauma. Clinically, this often presents with symptoms such as vomiting, slurred speech, headaches, and blurred vision [ 5 ]. Acute trauma causes disruption of the bridging veins, leading to acute hemorrhage.…”

Section: Introductionmentioning

confidence: 99%

Acute-on-Chronic Subdural Hematoma Secondary to Falls Due to Alcoholism

Iyer¹,

Killian²,

Stead³

et al. 2022

Cureus

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The authors present a case of a 58-year-old male who is a daily drinker, experiencing bitemporal headaches starting one week prior to seeking medical attention. The patient's physical examination and vital signs exhibited no irregularities. Imaging studies revealed an acute-on-chronic left subdural hematoma but no intracranial arterial thrombosis or significant stenosis. The patient was managed conservatively due to his intact mental status and did well. The authors discuss alcohol use as a predisposing factor for intracerebral hemorrhage due to the increased risk for head trauma.

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Section: Introductionmentioning

confidence: 99%