Navigating Diagnostic Dilemmas in Subacute Subdural Hemorrhage: A Case Report

Introduction:
Subacute subdural hemorrhage (SSDH) presents unique diagnostic challenges due to its subtle and evolving symptoms. This case report explores a 64-year-old male patient whose reluctance to undergo imaging tests complicated timely diagnosis and management. Understanding such cases highlights the importance of multidisciplinary collaboration and patient education. Visit https://www.clinmedcasereportsjournal.org/acr for more groundbreaking research in this field.

Understanding Subacute Subdural Hemorrhage
Subdural hemorrhages are categorized into acute, subacute, and chronic types. SSDH typically occurs 4 to 21 days post-trauma and can be difficult to diagnose due to its gradual onset. The patient in this study had sustained a head injury three months prior, leading to progressive neurological symptoms.

Case Summary and Key Findings:

• A 64-year-old male presented with progressive difficulty in walking, slowness, and limb weakness.
• Initial reluctance to undergo diagnostic imaging due to concerns about radiation exposure.
• CT scan revealed bilateral subacute subdural hematomas.
• Neurosurgical management included intravenous corticosteroid therapy to reduce edema.
• Emphasis on the importance of patient education and therapeutic alliance for timely intervention.

The Role of Medical Imaging in SSDH Diagnosis
Early diagnosis of SSDH is crucial for effective treatment. The American College of Radiology (ACR) emphasizes the importance of ensuring patient access to imaging services while maintaining high standards of radiological care.

Clinical Implications and Management Approaches

• Multidisciplinary Collaboration: Neurology and Neurosurgery teams play a vital role in optimizing patient care.
• Patient-Centered Care: Addressing patient concerns regarding imaging tests is essential for effective diagnosis.
• Therapeutic Alliance: Encouraging shared decision-making leads to better outcomes in complex cases like SSDH.

Further Reading and References
Read the full study at https://doi.org/10.29328/journal.acr.1001091. A detailed analysis can be found in our main journal article here.

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