Abstract
As per Guidelines for surgical management of Traumatic Brain Injury by Brain Trauma Foundation & The Congress of Neurological surgeons, surgery is indicated in Acute subdural haematoma if CT scan shows midline shift > 5 mm, or haematoma thickness > 10 mm regardless of patient's Glasgow coma scale score. However, nothing specified separately for sub-acute subdural haematoma. Mostly same criteria are being followed for selecting patients for surgery in sub-acute and chronic subdural haematoma. Such patient of sub-acute subdural haematoma, whose CT scan head shows midline shift > 5 mm, or haematoma thickness > 10 mm, presented here kept on clinico-radiological assessment showed complete resolution.
Highlights
Sub-acute subdural haematoma (SASDH) is an entity not separately addressed properly
The hypo-perfused tissue in the acute phase might become hyper-perfused during the sub-acute phase owing to impaired auto-regulation, and the hyper-perfusion may be responsible for the development of the SASDH [1]
As per Guidelines for surgical management of Traumatic Brain Injury by Brain Trauma Foundation & the Congress of Neurological surgeons, surgery is indicated in Acute subdural haematoma if CT scan shows midline shift > 5 mm, or haematoma thickness > 10 mm regardless of patient’s Glasgow coma scale score [5]
Summary
Sub-acute subdural haematoma (SASDH) is an entity not separately addressed properly. Till today there is no clinical or radiological criteria over which one can predict about progression or resolution of SASDH. Sub-acute subdural haematoma is a poorly individualised neurological entity, often equated clinically to chronic subdural haematomas [3]
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