Traumatic subdural hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving digital illustration

Traumatic subdural hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving Save


ICD-10 code: S06.5X6

Chapter: Injury, poisoning and certain other consequences of external causes

Traumatic Subdural Hemorrhage with Loss of Consciousness Greater than 24 Hours without Return to Pre-Existing Conscious Level with Patient Surviving

Traumatic subdural hemorrhage (TSDH) is a type of brain injury that occurs when blood vessels rupture and bleed between the surface of the brain and the dura mater, the tough outer membrane that covers the brain. This condition can be life-threatening and requires immediate medical attention.

When the loss of consciousness lasts for more than 24 hours and the patient does not return to their pre-existing conscious level, it is considered a severe TSDH. In some cases, the patient may survive, but they may have long-term neurological deficits that can impact their quality of life.

The symptoms of TSDH can include severe headache, nausea, vomiting, confusion, dizziness, seizures, and loss of consciousness. The severity of these symptoms can vary depending on the extent of the bleeding and the location of the hemorrhage.

Treatment for TSDH typically involves surgery to remove the blood clot and relieve pressure on the brain. In some cases, medication may also be prescribed to prevent seizures or reduce swelling in the brain.

  1. Diagnosis
  2. Diagnosis of TSDH involves a thorough physical exam, medical history, and imaging tests such as a CT scan or MRI. These tests can help identify the location and extent of the hemorrhage and determine the appropriate course of treatment.

  3. Treatment
  4. Treatment for TSDH typically involves surgery to remove the blood clot and relieve pressure on the brain. In some cases, medication may also be prescribed to prevent seizures or reduce swelling in the brain.

  5. Prognosis
  6. The prognosis for TSDH depends on various factors such as the extent of the bleeding, the location of the hemorrhage, and the patient's overall health. In severe cases, the patient may have long-term neurological deficits, while in milder cases, the patient may fully recover with little to no long-term effects.

  7. Prevention
  8. Prevention of TSDH involves taking precautions to prevent head injuries. This includes wearing helmets when participating in high-risk activities such as biking, skiing, or contact sports. It is also important to take steps to prevent falls, such as installing handrails and using non-slip mats in the shower or bathtub.

In conclusion, traumatic subdural hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving is a serious medical condition that requires immediate medical attention. If you or someone you know is experiencing symptoms of TSDH, seek medical attention right away.