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Case Reports
. 2023 Dec 17;15(12):e50660.
doi: 10.7759/cureus.50660. eCollection 2023 Dec.

Rehabilitation of Traumatic Acute Subdural Hematoma and Subarachnoid Hemorrhage: A Case Report

Amisha P Zade  1 , Shruti S Bhoge  1 , Nikita H Seth  1 , Pratik Phansopkar  1
Affiliations
Case Reports

Rehabilitation of Traumatic Acute Subdural Hematoma and Subarachnoid Hemorrhage: A Case Report

Amisha P Zade et al. Cureus. .

Abstract

A head injury or cerebrovascular illness may be the cause of acute intracranial hemorrhage. Making a precise diagnosis is challenging since diagnostic imaging might be challenging in both situations. In this case report, an aneurysmal rupture related head injury resulted in an acute subdural hematoma (SHD) after the patient lost consciousness. A 54-year-old male was found in a state of unconsciousness on the ground and was brought to the nearest hospital. Computed tomography (CT) scan showed an oblique fracture involving the bilateral frontal and right parietal bones along with underlying SDH, subarachnoid hemorrhage (SAH), and hemorrhagic contusion along with midline shift. The case report highlights the rehabilitation journey of a patient with acute SDH and SAH. The patient can now sit independently and stand with minimal assistance. Vasospasm detection, prevention, and treatment need to be the norm at that time. This case demonstrates the effectiveness of a comprehensive rehabilitation approach in promoting mobility and independence for patients with traumatic brain injuries.

Keywords: acute subdural hematoma; balance; balance exercises; case report; coordination exercises; gait impairment; intra cranial pressure; mobility training; physiotherapy; relaxation techniques.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Computed tomography scan of the brain
Red circle shows subdural hematoma and subarachnoid hematoma
Figure 2
Figure 2. Performing the finger-to-nose test
Procedure: The test is performed by alternating between hands, and it helps assess coordination and proprioception. It is commonly used to evaluate motor control and coordination.
Figure 3
Figure 3. Gait training (weight-shifting and stepping strategies)
Gait training helps improve walking ability exercises such as strengthening, balance training, and coordination drills, and also helps the patient regain independence and optimize their walking function.
Figure 4
Figure 4. Dynamic quadriceps
This focuses on strengthening the leg muscles to improve flexibility and balance.
See this image and copyright information in PMC

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