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Updated: Oct 15, 2025

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Nontraumatic bilateral subdural hematoma: Case report.

Tasneem Mohamed1, Sarya Swed2, Ahmad Al-Mouakeh3

  • 1Neurosurgery Department, Ribt University Hospital, Burri, Khrtoum, Sudan.

Annals of Medicine and Surgery (2012)
|October 29, 2021
PubMed
Summary
This summary is machine-generated.

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This case study highlights a rare instance of nontraumatic subdural hematoma (SDH) in a young male. Prompt diagnosis and treatment, including surgery for one side, led to a successful outcome without recurrence.

Area of Science:

  • Neurosurgery
  • Neurology
  • Radiology

Background:

  • Subdural hematoma (SDH) is typically associated with traumatic brain injury.
  • Nontraumatic SDH is uncommon and presents diagnostic challenges for neurosurgeons.

Observation:

  • A 31-year-old male presented with a three-week history of severe headache and oculomotor disorders.
  • Imaging revealed bilateral subdural hematoma without any history of trauma, hypertension, or hematological diseases.

Findings:

  • Computed tomography (CT) and magnetic resonance imaging (MRI) are crucial for diagnosing SDH.
  • The patient underwent conservative treatment for the right-sided SDH and surgical intervention for the left-sided SDH.
  • Three-month follow-up confirmed no recurrence of the subdural hematoma.
Keywords:
A case reportBilateral hematomaNontraumatic haemorrhageSubdural hematoma

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Implications:

  • Symptomatic SDH necessitates emergent evaluation and management, either conservatively or surgically.
  • Idiopathic spontaneous subdural hematoma requires strict evaluation and emergent treatment.
  • Close follow-up is essential for patients experiencing neurological symptoms post-treatment.