Hostname: page-component-76fb5796d-vfjqv Total loading time: 0 Render date: 2024-04-26T17:05:41.646Z Has data issue: false hasContentIssue false
  • English
  • Français

Mental Changes Resulting from Subdural Haematoma

Published online by Cambridge University Press:  29 January 2018

Donald W. Black
Donald W. Black*
Affiliation:
Department of Psychiatry, University of Iowa Hospitals and Clinics, 500 Newton Road, Iowa City, IA 52242, USA
Get access Rights & Permissions [Opens in a new window]

Summary

A retrospective study was carried out of 79 patients with subacute or chronic subdural haematomata. Forty-six (58.2%) had mental changes at admission which were categorised using DSM-III criteria. Delirium was the most frequent mental change, followed by dementia and coma. Three cases of organic affective syndrome were found. In those with mental changes, delirium was significant in older patients (P <.05) and coma in young patients (P <.001). Dementia was more common in the elderly. These findings confirm the presence of common mental syndromes in patients with subdural and haematomata and substantiate time-honoured clinical stereotypes.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 145 , Issue 2 , August 1984 , pp. 200 - 203
Copyright
Copyright © Royal College of Psychiatrists, 1984 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abbott, W. D., Doe, F. O. & Nosik, W. A. (1943) Psychiatric diagnosis of subdural hematoma and effusion from blast. American Journal of Psychiatry, 100, 98–107.Google Scholar
American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders, 3rd Edition. Washington D.C.: American Psychiatric Association.Google Scholar
Astran, K. E., Vander, E., Ecken, H. & Adams, R. D. (1980) Traumatic disease of the brain. In Harrison's Principles of Internal Medicine, 9th Edition, (eds. Isselbacker K. J., Adams R. D. et al) New York: McGraw-Hill.Google Scholar
Becker, D. (1982) Injuries to the head. In: Wyngaarden, J. B. and Smith, L. H. eds. Cecil Textbook of Medicine, 16th ed. Philadelphia: Saunders.Google Scholar
Bedford, P. D. (1958) Discussion: Intracranial hemorrhage-diagnosis and treatment. Proceedings of the Royal Society of Medicine, 15, 202–206.Google Scholar
Cameron, M. (1978) Chronic subdural hematoma. Journal of Neurology, Neurosurgery and Psychiatry, 41, 834–839.Google Scholar
Fleiss, A. N. (1945) Psychiatric manifestation of chronic subdural hematoma. Psychiatric Quarterly, 19, 187–194.Google Scholar
Fogelholm, R., Heiskanen, O. & Waltimo, O. (1975) Chronic subdural hematoma in adult. Journal of Neurosurgery, 42, 43–46.CrossRefGoogle Scholar
Furlow, C. T. (1936) Subdural hematoma. Archives of Surgery, 32, 688–708.Google Scholar
Jelsma, F. (1930) Chronic subdural hematoma. Archives of Surgery, 21, 128–144.Google Scholar
Kunkel, P. A. & Dandy, W. E. (1939) Subdural hematoma: diagnosis and treatment. Archives of Surgery, 38, 24–54.CrossRefGoogle Scholar
Linnel, E. A. (1940) Late effects of subdural hemorrhage. Lancet, ii, 514–516.Google Scholar
Luxon, L. M. & Harrison, M. J. G. (1979) Chronic subdural hematoma. Quarterly Journal of Medicine, 48, 43–53.Google Scholar
McKenzie, K. G. (1932) A surgical and clinical study of nine cases of chronic subdural hematoma. Canadian Medical Association Journal, 26, 534–544.Google Scholar
McKissock, W., Richardson, A. & Bloom, W. H. (1960) Subdural hematoma: a review of 389 cases. Lancet, 1, 1365–1369.Google Scholar
Merritt, H. H. (1979) Trauma. In Textbook of Neurology, 6th Edition (ed. Merritt H. H.) Philadelphia: Lea and Febiger.Google Scholar
Micheels, L. J. (1953) Catatonic syndrome in a case of subdural hematoma. Journal of Nervous and Mental Diseases, 117, 123–129.CrossRefGoogle Scholar
Olkan, D. M. (1938) A case of chronic subdural hematoma with acute manifestations. Archives of Neurology and Psychiatry, 39, 1102–1104.Google Scholar
Rabins, P. V. & Folstein, M. F. (1982) Delirium and dementia: diagnostic criteria and fatality rates. British Journal of Psychiatry, 140, 149–153.Google Scholar
Singh, K. (1950) Chronic subdural hemorrhage associated with schizophrenic reaction. British Medical Journal, ii, 562.Google Scholar
Stuteville, P. & Welch, K. (1958) Subdural hematoma in the elderly. Journal of the American Medical Association, 168, 1445–1449.Google Scholar
Voris, H. C. (1946) Subdural hematoma. Journal of the American Medical Association, 132, 686–692.CrossRefGoogle ScholarPubMed
Woods, S. W. (1980) Catatonia in a patient with subdural hematoma. American Journal of Psychiatry, 137, 983–984.Google Scholar
Wortis, B. M., Hermann, M. & London, J. (1945) Mental changes in patients with subdural hematomas. Research Publications. In: Trauma of the Central Nervous System. Baltimore: Williams & Wilkins.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.