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Subdural hemorrhage

Also known as Subdural Hematoma

A subdural hematoma (American spelling) or subdural haematoma (British spelling), also known as a subdural haemorrhage (SDH), is a type of hematoma, usually associated with traumatic brain injury. Blood gathers within the outermost meningeal layer, between the dura mater, which adheres to the skull, and the arachnoid mater, which envelops the brain. Usually resulting from tears in bridging veins which cross the subdural space, subdural hemorrhages may cause an increase in intracranial pressure (ICP), which can cause compression of and damage to delicate brain tissue. Subdural hematomas are often life-threatening when acute. Chronic subdural hematomas, however, have better prognosis if properly managed.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with subdural hemorrhage, 67% report having headache, 36% report having problems with movement, and 36% report having dizziness. The symptoms that are highly suggestive of subdural hemorrhage are problems with movement and abnormal movement of eyelid, although you may still have subdural hemorrhage without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with subdural hemorrhage often receive radiographic imaging procedure, x-ray computed tomography, hematologic tests, complete blood count, intravenous fluid replacement, plain x-ray, cat scan of head and electrolytes panel .

Common Medications

The most commonly prescribed drugs for patients with subdural hemorrhage include levetiracetam (keppra), phenytoin (dilantin), labetalol, phenobarbital, mannitol, nicardipine, vitamin k 1 (mephyton), carbidopa, rocuronium, linezolid (zyvox), dorzolamide ophthalmic, fosphenytoin and cefepime .

Levetiracetam (Keppra)
$111
(28 days)
Phenytoin (Dilantin)
$29
(28 days)
Labetalol
$19
(28 days)
Phenobarbital
$3
(28 days)
Mannitol
$9
(14 days)
Nicardipine
$28
(28 days)
Vitamin K 1 (Mephyton)
$44
(7 days)
Carbidopa
$170
(28 days)
Rocuronium

Linezolid (Zyvox)
$1105
(7 days)
Dorzolamide Ophthalmic

Fosphenytoin
$23
(7 days)
Cefepime
$350
(7 days)

Who is at risk?

Groups of people at highest risk for subdural hemorrhage include age 75+ years.

Age

< 1 years
1.4x
1-4 years
0.5x
5-14 years
0.3x
15-29 years
0.5x
30-44 years
0.2x
45-59 years
0.7x
60-74 years
1.3x
75+ years
4.8x

Sex

Male
1.2x
Female
0.9x

Race/Ethnicity

Black
0.4x
Hispanic
0.8x
White
1.3x
Other
0.7x
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