[Acute subdural hematoma following minor head injury].
A 73-year-old patient is described who developed tentorial herniation after a minor head trauma. The initial neurological examination was normal and she had no skull fracture. The cause turned out to be a subdural haematoma of arterial origin, without cerebral contusion or oedema. Prompt surgical intervention resulted in a excellent outcome. The authors conclude that a special form of acute subdural haematoma should be distinguished, which after minor head injury and a lucid interval results in sudden neurological deterioration, especially in the elderly. It has to be treated by prompt surgical intervention.
Smits
R C
RC
Afd. Neurologie, Academisch Ziekenhuis Vrije Universiteit, Amsterdam.
Polder
T W
TW
Ponssen
H
H
Scheltens
P
P
D000208:Acute Disease; D000368:Aged; D006259:Craniocerebral Trauma / Q000000981:diagnostic imaging*; D003399:Craniotomy; D005260:Female; D006408:Hematoma, Subdural / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D014057:Tomography, X-Ray Computed
Acuut subduraal hematoom na licht schedeltrauma.