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What is Not True regarding Sub Dural hematoma and explain in detail?
Ans. (a) Occurs on both sidesRef: Bailey and love, 27th ed; pg. 334-335 * Subdural hematoma is collection of blood between the dura and arachnoid layers of the meninges* Causes being Trauma leading to acute subdural hematoma and in elderly, even trivial trauma causes bleed who are on anticoagulation* Usually diagnosed with Non contrast CT brain which differentiates acute from chronic subdural hematoma* Acute subdural hematoma have characteristic finding of hyperdense concavo-convex lesion on side of the brain with or without midline shift* In acute conditions, urgent surgical evacuation is needed in the form of craniotomy or craniectomy.* Those presenting with chronic subdural hematomas, anticoagulation should be reversed by Vitamin K and steroids as conservative options. If severe, can undergo burr hole procedure to evacuate the clot.