Powered by OpenAIRE graph
Found an issue? Give us feedback
image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ PubMed Centralarrow_drop_down
image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
PubMed Central
Other literature type . 2024
License: CC BY
Data sources: PubMed Central
Cureus
Article . 2024 . Peer-reviewed
Data sources: Crossref
Cureus
Article
versions View all 3 versions
addClaim

Bilateral Subdural Hematomas Without Midline Shift: A Case Report

Authors: Patel, Juhi; Luke, Nicholas D; Alaie, Mehrdad;

Bilateral Subdural Hematomas Without Midline Shift: A Case Report

Abstract

Subdural hematomas are blood collections between the dura mater and the arachnoid mater of the meninges that can rapidly progress into surgical emergencies. Commonly seen in the elderly and alcoholic demographics, the accumulation of blood can cause midline shifts and brain herniation. The standard practice of treatment may include either a craniotomy or burr hole trephination. Subdural hematomas may be acute or chronic and be unilateral or bilateral; predicting mortality rate can be done based on the Glasgow Coma Scale (GCS) score, age of the patient, hemodynamic stability, neurological deficits, and radiological findings such as location of the bleed and measurement of midline shift. We present a 93-year-old male patient who was found to have acute-on-chronic bilateral subdural hematomas without a midline shift a week after he had a fall at home. The patient was neurologically intact and not in respiratory distress. Bilateral burr hole trephination was used to evacuate the hematomas, and the patient was closely followed up postoperatively and did not have any complications and was discharged. This case provides an interesting look at managing bilateral subdural hematomas without midline shift or neurological deficits and stable hemodynamics.

Keywords

Emergency Medicine

  • BIP!
    Impact byBIP!
    selected citations
    These citations are derived from selected sources.
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    0
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Average
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
Powered by OpenAIRE graph
Found an issue? Give us feedback
selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Green