ArticleCurrent treatment options in neurology2014
Treatment of acute subdural hematoma.
Article in Current treatment options in neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 41 citations in OpenAlex.
- Characteristics of head injuries in children at King Abdullah Specialized Children's Hospital, Jeddah: a cross-sectional study.Frontiers in pediatrics · 2026Article
- Twist-Drill Craniostomy With Pressure-Controlled Fibrinolytic Irrigation Therapy for the Evacuation of Acute Traumatic Subdural Hematoma in Patients Not Requiring Immediate Craniotomy.Neurosurgery practice · 2025Article
- Subdural Hematoma Presenting with Tinnitus After Spinal Anesthesia for Cesarean Section: A Case Report.Cureus · 2025Article
- Twist-drill craniostomy with pressure-controlled fibrinolytic irrigation therapy for the evacuation of bilateral acute traumatic subdural hematoma: illustrative case.Journal of neurosurgery. Case lessons · 2025Article
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- Article
- Value of Repeat CT Brain in Mild Traumatic Brain Injury Patients with High Risk of Intracerebral Hemorrhage Progression.International journal of environmental research and public health · 2022Article
- Does the COVID-19 Screening Test Affect the Postoperative Prognosis of Patients Who Undergo Emergency Surgery for Cerebral Hemorrhage?Korean journal of neurotrauma · 2022Article
- Subdural hematoma expansion in relation to measured mean and peak systolic blood pressure: A retrospective analysis.Frontiers in neurology · 2022Article
- Possible mechanism and Atorvastatin-based treatment in cupping therapy-related subdural hematoma: A case report and literature review.Frontiers in neurology · 2022Article
- Evaluation of the prognosis of acute subdural hematoma according to the density differences between gray and white matter.Frontiers in neurology · 2022Article
- Article
- Predictive factors of 30-day mortality in patients with traumatic subdural hematoma.Experimental and therapeutic medicine · 2021Article
- Rare occurrence of a huge traumatic extradural haematoma in a patient with an ipsilateral sylvian arachnoid cyst.BMJ case reports · 2018Article
- Intracranial subdural hematoma after epidural anesthesia: a case report and review of the literature.International journal of emergency medicine · 2018Article
- Prognostic significance of hematoma thickness to midline shift ratio in patients with acute intracranial subdural hematoma: a retrospective study.Neurosurgical review · 2018Observational
- Reformatted images improve the detection rate of acute traumatic subdural hematomas on brain CT compared with axial images alone.Emergency radiology · 2017Article
- Subdural Hematoma without Subarachnoid Hemorrhage Caused by the Rupture of Middle Cerebral Artery Aneurysm.Journal of cerebrovascular and endovascular neurosurgery · 2016Article
- Do Age and Anticoagulants Affect the Natural History of Acute Subdural Hematomas?Archives of emergency medicine and critical care · 2016Article
- Swift Spontaneous Regression of a Pediatric Traumatic Acute Subdural Hematoma.Case reports in neurologyArticle
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
opinion statementClinical presentation, neurologic condition, and imaging findings are the key components in establishing a treatment plan for acute SDH. Location and size of the SDH and presence of midline shift can rapidly be determined by computed tomography of the head. Immediate laboratory work up must include PT, PTT, INR, and platelet count. Presence of a coagulopathy or bleeding diathesis requires immediate reversal and treatment with the appropriate agent(s), in order to lessen the risk of hematoma expansion. Reversal protocols used are similar to those for intracerebral hemorrhage, with institutional variations. Immediate neurosurgical evaluation is sought in order to determine whether the SDH warrants surgical evacuation. Urgent or emergent surgical evacuation of a SDH is largely influenced by neurologic examination, imaging characteristics, and presence of mass effect or elevated intracranial pressure. Generally, evacuation of an acute SDH is recommended if the clot thickness exceeds 10 mm or the midline shift is greater than 5 mm, regardless of the neurologic condition. In patients with patients with an acute SDH with clot thickness <10 mm and midline shift <5 mm, specific considerations of neurologic findings and clinical circumstances will be of importance. In addition, consideration will be given as to whether an individual patient is likely to benefit from surgery. For an acute SDH, evacuation by craniotomy or craniectomy is preferred over burr holes based on available data. Postoperative care includes monitoring of resolution of pneumocephalus, mobilization and drain removal, and monitoring for signs of SDH reaccumulation. Medical considerations include seizure prophylaxis and management as well as management and resumption of antithrombotic and anticoagulant medication.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.