Rapid Review: Subdural Hematoma
- Patient will be elderly or alcoholic
- With a history of a fall or traumatic head injury
- Complaining of headache, mental status changes, seizures, or focal deficits
- Diagnosis is made by non-contrast CT, crescent-shaped hematoma
- Most commonly caused by rupture of the bridging veins
- Treatment is neurosurgical consultation
Sample question: A 68-year-old man presents to the ED after a fall down twelve stairs. On physical exam, you note a large parietal scalp hematoma. His non-contrast computed tomography scan of the head shows a crescent-shaped hematoma. Which of the following is the most likely diagnosis?