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A 46-year-old member asked:

is it possible that someone have a subdural hematoma even if they are bleeding on their scalp?

2 doctor answers5 doctors weighed in
Dr. James Goodrich
Neurosurgery 39 years experience
Subdural hematoma: Bleeding from the scalp will not cause a subdural hematoma, this type of bleed comes from a more serious type of trauma, not just from a scalp laceration.
Dr. Jefferson Chen
Neurosurgery 34 years experience
Possibly: A person can have a subdural hematoma in addition to bleeding on the scalp. The bleeding on the scalp may just be the external stigmata of the head injury. You cannot tell if there is an underlying subdural hematoma without a ct scan of the head. Certainly, altered mental status, coma, pupillary asymmetry are clues that there may be something more serious inside.

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A 32-year-old member asked:

Could someone have a subdural hematoma even if he is bleeding from the scalp?

2 doctor answers6 doctors weighed in
Dr. Ally-Khan Somani
Dermatology 19 years experience
Depends on injury: Head injuries are no laughing matter. If the injury is severe there is always a risk of an acute subdural or epidural hematoma. Even with mild injury the elderly are at risk of a slow bleed or chronic subdural hematoma. Any type of head injury that results in direct force to the head should be assessed by a doctor with a complete neurological exam to rule out potential serious complications.

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Last updated May 9, 2013
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