Subdural haematoma

Question 1

Causes of SDH

Answer 1

• tearing of veins as they cross subdural space
• Causes:
  
  • NON-ACCIDENTAL INJURY CLASSIC- shaking or direct trauma to infant or toddler
  • major trauma: fall from height, RTA
  • neurosurgical complications
  • cranio malformations
  • cerebral infections
  • coagulopathy
  • metabolic
• • retinal haemorrhages

Question 2

Presenting symptoms of SDH

Answer 2

• Altered mental state
• Seizures
• Loss of consciousness
• • retinal haemorrhages
• Raised ICP symptoms