VOLUME 58 , ISSUE 3 ( July-September, 2024 ) > List of Articles
B Saroj K Prusty, Kavinilavan R, Ramakrishna Reddy
Keywords : Case report, Cirrhosis, Hemorrhage, Hepatic encephalopathy
Citation Information : Prusty BS, R K, Reddy R. Spontaneous Subdural Hemorrhage in a Cirrhotic Patient: A Diagnostic Dilemma: A Case Report. J Postgrad Med Edu Res 2024; 58 (3):128-129.
DOI: 10.5005/jp-journals-10028-1675
License: CC BY-NC 4.0
Published Online: 05-11-2024
Copyright Statement: Copyright © 2024; The Author(s).
Background: Trauma is the most frequent cause of subdural hemorrhage (SDH). Spontaneous, nontraumatic SDH is a rarely encountered entity in an elderly cirrhotic patient. Case description: A middle-aged gentleman, a known cirrhotic, presented with fever and altered sensorium. An initial diagnosis of hepatic encephalopathy (HE) was made. Upon subsequent evaluation, a diagnosis of SDH was made. Treatment and outcome: An immediate burr hole was placed, and the hematoma was evacuated. The patient was discharged on day 7. Take-home message: Clinicians should keep SDH in mind as one of the differential diagnoses when a cirrhotic patient presents with altered sensorium, even in the absence of trauma.
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