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Traumatic brain injury and subdural haematoma 

Traumatic brain injury and subdural haematoma
Chapter:
Traumatic brain injury and subdural haematoma
Author(s):

Abdullah Bin Zahid

and Uzma Samadani

DOI:
10.1093/med/9780198701590.003.0114
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date: 18 October 2019

Traumatic brain injury (TBI) in elders is a common problem that is frequently accompanied by the other comorbidities. The advanced trauma life support (ATLS) protocol guides initial evaluation and stabilization. The cornerstone of management is to prevent secondary brain injury caused primarily by hypoxia and hypotension. TBI may be accompanied by intracranial haematomas, of which subdural haematoma (SDH) is the most common. SDH may also arise in the absence of TBI, and is easy to miss especially in its chronic form. Treatment is to drain the haematoma if large or symptomatic, otherwise simple observation is sufficient. Primary investigations in both TBI and SDH are CT head and coagulation profile. Prognosis in both is usually indicated by age and neurologic exam findings. Older people with chronic complications of TBI (e.g. chronic traumatic encephalopathy) may be seen. Diagnostics remain elusive for this condition and management is primarily symptomatic.

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