Abstract
M34, RH, without significant pmh, was assaulted and suffered severe head injury at scene GCS E1 V1 M4, I+V+S, bluelighted in AE where left pupil dilated and fixed but responded to hypertonic saline, no other major injuries
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- A+E:
-
Accident and emergency department
- ASDH:
-
Acute sub-dural haematoma
- C spine:
-
Cervical spine
- CTH:
-
Computed tomography head
- DAI:
-
Diffuse axonal injury
- EDH:
-
Extra dural haematoma
- ICP:
-
Intracranial pressure
- ICU:
-
Intensive care unit
- I+V+S:
-
Intubated and ventilated and sedated
- MLS:
-
Midline shift
- PMH:
-
Past medical history
- RESCUE ASDH:
-
Randomised Evaluation of Surgery with Craniectomy for patients Undergoing Evacuation of Acute Subdural Haematoma
- SDH:
-
Subdural haematoma
Evidence
DECRA
Cooper DJ, Rosenfeld JV, Murray L, Arabi YM, Davies AR, D’Urso P, Wolfe R. Decompressive craniectomy in diffuse traumatic brain injury. N Engl J Med. 2011;364(16):1493–502. https://doi.org/10.1056/NEJMoa1102077.
RESCUE ICP
Danish SF, et al. Quality of life after hemicraniectomy for traumatic brain injury in adults: a review of the literature. Neurosurg Focus. 2009;26(6):E2.
Ho KM, Honeybul S, Litton E. Delayed neurological recovery after decompressive craniectomy for severe nonpenetrating traumatic brain injury. Crit Care Med. 2011;39(11):2495–500.
Hutchinson PJ, Kolias AG, Timofeev IS, Corteen EA, Czosnyka M, Timothy J, et al. Trial of decompressive craniectomy for traumatic intracranial hypertension. N Engl J Med. 2016;375(12):1119–30. https://doi.org/10.1056/NEJMoa1605215.
Pediatric
Taylor A, et al. A randomized trial of very early decompressive craniectomy in children with traumatic brain injury and sustained intracranial hypertension. Childs Nerv Syst. 2001;17(3):154–62.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Tolias, C.M., Giamouriadis, A., Hogg, F.R.A., Ghimire, P. (2019). Acute Subdural Haematoma. In: Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-98234-2_5
Download citation
DOI: https://doi.org/10.1007/978-3-319-98234-2_5
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-98233-5
Online ISBN: 978-3-319-98234-2
eBook Packages: MedicineMedicine (R0)