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Subacute Bilateral Subdural Hematoma: Delayed Presentation With Headache One Month Post Mild Trauma
Abdulrahman Alsahan1, Mishael Alobaid1, Talal Aldukhayyil1
1Medicine, Imam Abdulrahman Bin Faisal University, Khobar, SAU.
Cureus
|December 7, 2021
Summary
A young man developed bilateral subacute subdural hematoma (SDH) after minor head trauma. Initial exams were normal, but delayed headache led to diagnosis via CT scan.
Area of Science:
- Neurology
- Neurosurgery
- Radiology
Background:
- Subdural hematoma (SDH) can occur after head trauma.
- Minor trauma may lead to delayed neurological complications.
- Subacute subdural hematoma (SASDH) presents a diagnostic challenge.
Observation:
- A 25-year-old male sustained minor trauma with nasal wounds.
- Initial facial X-ray and presentation showed no abnormalities.
- Headache developed three weeks post-trauma, initially misdiagnosed as migraine.
Findings:
- CT scan revealed bilateral subacute subdural hematoma (SASDH).
- Delayed diagnosis occurred despite initial negative radiological findings.
- Headache was the primary presenting symptom of SASDH.
Implications:
- Highlights the importance of considering delayed SDH after seemingly minor head injuries.
- Underscores the potential for normal initial findings in cases of subsequent SDH.
- Suggests vigilance in evaluating persistent headaches post-trauma, even with initial negative workups.
