Contemporary Management of Subdural Hematoma

Neurol Clin. 2025 Feb;43(1):65-78. doi: 10.1016/j.ncl.2024.07.003. Epub 2024 Sep 10.

Abstract

This review provides a comprehensive overview of the contemporary management strategies for acute and chronic subdural hematomas, delineating their distinct clinical characteristics, risk factors, etiologies, and treatment paradigms. Through a synthesis of current evidence and emerging trends, this review explores established therapeutic strategies alongside innovative modalities under active investigation. This article equips clinicians with a nuanced understanding of optimal care pathways for both acute and chronic subdural hematomas, thus facilitating improved patient outcomes.

Keywords: Guidelines; Medical management; Middle meningeal artery embolization; Neurosurgery; Subdural hematoma; Traumatic brain injury.

Publication types

  • Review

MeSH terms

  • Disease Management
  • Hematoma, Subdural* / etiology
  • Hematoma, Subdural* / therapy
  • Hematoma, Subdural, Acute / surgery
  • Hematoma, Subdural, Acute / therapy
  • Hematoma, Subdural, Chronic / surgery
  • Hematoma, Subdural, Chronic / therapy
  • Humans