Clinical Case Database / Category: Case Based Discussion

Subdural haematoma

Publication details

Daniel Glassman MBBS, BSc (Hons), Kiran Bundhoo MBBS, BSc (Hons)
Foundation Years Journal, volume 2, issue 6, p.285 (123Doc Education, London, July 2008)


A 79-year-old man is brought into the Accident and Emergency department by his son after sustaining a head injury during a fall 2 hours previously. He has been increasingly confused and unsteady on his feet. On examination, he appears drowsy with a right sided hemiparesis and an ipsilateral dilated pupil. How would you assess and manage his condition?

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Daniel Glassman MBBS, BSc (Hons) (Corresponding author)

Foundation Year 2 Doctor,
Newham General Hospital
Newham University Hospital NHS Trust
Glen Road, Plaistow, London E13 8SL

Kiran Bundhoo MBBS, BSc (Hons)

Foundation Year 2 Doctor
King George Hospital


1. Scaletta T. accessed in September 2008.
2. Bullock MR, Chesnut R, Ghajar J, et al. Surgical management of acute subdural hematomas. Neurosurgery 2006 March 58(3 Suppl):S16–S24.


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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