Alsahan Abdulrahman, Alobaid Mishael, Aldukhayyil Talal, Alfaraj Dunya
Medicine, Imam Abdulrahman Bin Faisal University, Khobar, SAU.
Emergency, Imam Abdulrahman Bin Faisal University, King Fahad University Hospital, Dammam, SAU.
Cureus. 2021 Nov 1;13(11):e19183. doi: 10.7759/cureus.19183. eCollection 2021 Nov.
We herein report a case involving the development of a bilateral subacute subdural hematoma (SDH) after minor trauma, with only two wounds over the nose and no abnormal clinical and radiological findings at first presentation. A 25-year-old male patient presented to the emergency department (ED) after a minor trauma. X-ray was done on the facial bone to rule out nasal fracture which showed no abnormalities and then he was subsequently discharged. Three weeks later, the patient complained of a headache that persisted for a week, which brought him to the hospital. The initial impression was migraine after the primary healthcare visit, for which MRI was arranged, but as the headache persisted, he went to the ED twice again, and a CT scan was done during his second visit to the ED, which showed bilateral subacute SDH (SASDH).
我们在此报告一例病例，该患者在轻微创伤后发生双侧亚急性硬膜下血肿（SDH），初诊时仅鼻部有两处伤口，且无异常临床及影像学表现。一名25岁男性患者在轻微创伤后就诊于急诊科（ED）。对其面部骨骼进行了X线检查以排除鼻骨骨折，结果显示无异常，随后他被出院。三周后，患者主诉头痛持续一周，遂再次入院。在初级医疗就诊后初步诊断为偏头痛，并安排了MRI检查，但由于头痛持续，他又两次前往急诊科，在第二次就诊时进行了CT扫描，结果显示双侧亚急性硬膜下血肿（SASDH）。
