Delayed Development of Traumatic Life-Threatening Acute Subdural Hematoma and Its Management: Challenge for Neurosurgeon — A Case Report and Review of Literature

Abstract

Delayed development of traumatic acute subdural hematoma in patients having a coagulation disorder with or without taking anticoagulants have been well reported in literature. But delayed development of acute subdural hematoma (ASDH) in patients with head injury without any coagulation disorder is rare as per our knowledge. In this case report, we are reporting a 28-year-old male patient, who developed delayed posttraumatic life-threatening ASDH after 48 hours of trauma. The patient had no coagulation disorder. He was not an alcoholic and all his examinations, including coagulation profile, liver function tests, and peripheral smear examination were within the normal limits. We want to highlight that mere absence of a lesion on computed tomography and negative clinical, with radiological finding, at an emergency department, does not always hold the eligibility to discharge a head injury patient. Observation for at least 24 hours with subsequent minimum one short interval follow-up is necessary for the safety of the patient.