Death due to delayed onset intracranial bleeding in a patient with an acute subdural hematoma

Hisashi Nagai, Akina Nara, Rutsuko Yamaguchi, Ken Ichi Yoshida, Koichi Uemura

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We report a fatal case of acute subdural hematoma (ASDH) involving the delayed onset of subdural bleeding after a head trauma. There were no central nervous symptoms after the head trauma and an initial head computed tomography (CT) scan did not exhibit any abnormal findings. On the second day, the patient suddenly complained of a headache and vomiting, and she lost consciousness. An emergency head CT scan detected a right-sided ASDH and severe cerebral herniation. As the patient was taking triple anticoagulant therapy, surgery could not be performed. She died 2 weeks after the onset of the ASDH. Even in cases of head trauma that do not exhibit abnormal findings on head CT, it is necessary to follow up the patients' clinical condition. Specifically, controlling coagulability and performing repeated head CT examinations are considered to be beneficial for preventing abundant subdural bleeding and facilitating the early detection of delayed onset ASDH.

Original languageEnglish
Pages (from-to)132-137
Number of pages6
JournalAustralian Journal of Forensic Sciences
Issue number2
Publication statusPublished - 2016 Mar 3


  • acute subdural hematoma
  • autopsy case
  • delayed onset of bleeding

ASJC Scopus subject areas

  • Pathology and Forensic Medicine


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