{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T15:07:26Z","timestamp":1776784046050,"version":"3.51.2"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T00:00:00Z","timestamp":1728432000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>While acute and chronic subdural hematomas (SDH) are relatively common, co-occurrence is rare. Here, we report a case of unilateral simultaneous acute and chronic SDH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A 74-year-old man with comorbid diabetes mellitus and hypertension presented with decreased consciousness (Glasgow Coma Scale (GCS) 4; E1M2V1) with stable hemodynamics. Isochoric pupils and right motoric lateralization were found upon neurological examination. CT scan of the brain without contrast showed acute and chronic SDH in the left frontotemporoparietal area with a midline shift 2 cm to the right. An evacuation craniectomy of the SDH was performed. Postoperative care included mechanical ventilation, monitoring, fluid balance maintenance, and medication. The patient showed improvement during follow-up and was weaned off mechanical ventilation on the 5th day after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>SDH with a thickness of 10 mm or more and mass effect requires surgical management. Various techniques can be used for surgical evacuation. The prognosis of chronic SDH patients depends on their clinical condition when admitted, with early diagnosis and intervention resulting in improved prognosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This rare case highlights the significance of promptly recognizing and addressing symptoms such as headache and decreased consciousness, especially in older patients with underlying health conditions. Good prognosis is dependent on prompt evaluation, including a head CT scan for recurrent headaches, and immediate treatment when necessary.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110436","type":"journal-article","created":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T22:36:23Z","timestamp":1728599783000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Simultaneous intracranial acute and chronic subdural hematoma on one side: A rare case report"],"prefix":"10.1097","volume":"124","author":[{"given":"Djoko","family":"Widodo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mirza Ananda","family":"Pasaribu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin Jonathan","family":"Sjukur","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Husni","family":"Harmansyah","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad","family":"Faruk","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-116-20260421","doi-asserted-by":"crossref","first-page":"3709","DOI":"10.18203\/2394-6040.ijcmph20183440","article-title":"Diagnosis and management of subdural hematoma: a review of recent literature","volume":"5","author":"Alshora,","year":"2018","journal-title":"Int. J. Commun. Med. Public Health"},{"key":"R2-116-20260421","doi-asserted-by":"crossref","DOI":"10.3389\/fneur.2022.1026471","article-title":"Subdural hematoma expansion in relation to measured mean and peak systolic blood pressure: a retrospective analysis","volume":"13","author":"Plowman,","year":"2022","journal-title":"Front. Neurol."},{"key":"R3-116-20260421","article-title":"Delayed recognition, surgical dilemmas, and complications: a case report of acute-on-chronic subdural hematoma with ischemic stroke","volume":"15","author":"Al-Thawwab,","year":"2023","journal-title":"Cureus"},{"key":"R4-116-20260421","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"Collaborators, the SCARE 2023 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int. J. Surg."},{"key":"R5-116-20260421","doi-asserted-by":"crossref","first-page":"775","DOI":"10.17826\/cumj.395112","article-title":"Acute-on-chronic subdural hematoma","volume":"43","author":"Durukan,","year":"2018","journal-title":"Cukurova Med. J."},{"key":"R6-116-20260421","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1007\/s12028-015-0194-x","article-title":"The neurocritical and neurosurgical care of subdural hematomas","volume":"24","author":"Huang,","year":"2016","journal-title":"Neurocrit. Care"},{"key":"R7-116-20260421","first-page":"330","article-title":"Chronic subdural hematoma., Asian","volume":"11","author":"Yadav,","year":"2016","journal-title":"J. Neurosurg."},{"key":"R8-116-20260421","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1186\/s13104-017-2969-y","article-title":"Acute on chronic bilateral subdural hematoma presenting with acute complete flaccid paraplegia and urinary retention mimicking an acute spinal cord injury: a case report","volume":"10","author":"Herath,","year":"2017","journal-title":"BMC. Res. Notes"},{"key":"R10-116-20260421","doi-asserted-by":"crossref","first-page":"33","DOI":"10.20956\/nmsj.v6i1.13967","article-title":"Comparison of Helsinki CT and Rotterdam CT scoring systems as prognostic factors of brain injury","author":"Yap,","year":"2021","journal-title":"Nusantara Med. Sci. J."},{"key":"R11-116-20260421","doi-asserted-by":"crossref","DOI":"10.1016\/j.bas.2021.100300","article-title":"Chronic subdural hematoma (cSDH): a review of the current state of the art","volume":"1","author":"Nouri,","year":"2021","journal-title":"Brain Spine"},{"key":"R13-116-20260421","first-page":"607","article-title":"Acute on chronic bilateral subdural hematoma in a woman with a remote history of previous subdural hematoma managed by trephination: a case report","volume":"58","author":"Karn,","year":"2020","journal-title":"JNMA J. Nepal Med. 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