What is the difference between complicated and uncomplicated acute subdural hematoma (SDH)?

Updated: Jul 26, 2018
  • Author: Richard J Meagher, MD; Chief Editor: Helmi L Lutsep, MD  more...
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Answer

Acute subdural hematoma is commonly associated with extensive primary brain injury. In one study, 82% of comatose patients with acute subdural hematomas had parenchymal contusions. [1] The severity of the diffuse parenchymal injury shows a strong inverse correlation with the outcome of the patient.

In recognition of this fact, a subdural hematoma that is not associated with an underlying brain injury is sometimes termed a simple or pure subdural hematoma. The term complicated has been applied to subdural hematomas in which a significant injury of the underlying brain has also been identified.


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