Traumatic sdh, T-SDH, Traumatic subdural haemorrhage, 경막하출혈, 케이스, 케이스스터디(CASESTUDY) A＋ 신경계 실습케이스

1. 서론

Traumatic subdural hemorrhage (T-SDH) is a significant clinical concern that arises from traumatic brain injuries, where blood accumulates between the dura mater and the arachnoid layer of the meninges. It is crucial to understand the pathophysiology, clinical presentation, and management of T-SDH to provide optimal care to affected patients. T-SDH often occurs due to rapid deceleration forces, as experienced in falls, automobile accidents, or contact sports. The vulnerability of elderly patients, those on anticoagulants, and individuals with previous brain injuries makes T-SDH a condition with varied presentations and outcomes. The mechanism leading to T-SDH involves the shearing of bridging veins that cross the subdural space, resulting in a slow accumulation of blood. Unlike epidural hematomas, which present acutely and require immediate surgical intervention, T-SDH may develop over days to weeks, leading to chronic subdural hematomas in some cases. Patients may present w…(생략)