{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,30]],"date-time":"2025-08-30T00:06:01Z","timestamp":1756512361762,"version":"3.44.0"},"reference-count":0,"publisher":"Academy of Family Physicians of Malaysia","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Malays Fam Physician"],"abstract":"<jats:p>Delayed chronic subdural haematoma (cSDH) is a common but potentially serious complication following traumatic brain injury (TBI). Mild TBIs are commonly managed by primary care providers (PCPs), particularly in large, resource-limited settings such as Malaysia, where access to tertiary neurosurgical services may be delayed. Early identification of red-flag signs and symptoms and timely referrals are crucial to prevent clinical deterioration. We describe the case of a 66-year-old man who sustained mild head injury following a vasovagal syncope. His initial brain CT revealed evidence of a small traumatic subarachnoid haemorrhage over the left precentral sulcus, with resolution on an interval scan 24 hours later. He was discharged home without follow-up. Eleven weeks later, he developed bilateral lower-limb weakness and unsteady gait, which prompted an urgent referral by his general practitioner. Repeat CT revealed bilateral acute-on-chronic subdural haematomas, with mass effect requiring emergency burr-hole drainage. The patient showed excellent post-operative improvement and was discharged home on day 4, with no clinical or radiological recurrence on subsequent follow-up. This case highlights the risk of delayed cSDH in patients following mild TBI, even in those discharged with a normal CT scan. PCPs play a pivotal role in recognising high-risk patients, ensuring structured follow-up and facilitating timely specialist referral. We advocate for updating the Malaysian head injury guidelines to incorporate routine follow-up protocols for at-risk patients, modelled after international standards.<\/jats:p>","DOI":"10.51866\/cr.776","type":"journal-article","created":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T14:55:35Z","timestamp":1756479335000},"page":"45","source":"Crossref","is-referenced-by-count":0,"title":["Development of chronic subdural haematoma from mild head injury: A case report and review of current Malaysian guidelines on traumatic brain injury"],"prefix":"10.51866","volume":"20","author":[{"given":"Qingping Joseph","family":"Feng","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian James","family":"Long","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Su Lone","family":"Lim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ira Siyang","family":"Sun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiong Wen","family":"Low","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chun Peng","family":"Goh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"28286","published-online":{"date-parts":[[2025,7,12]]},"container-title":["Malaysian Family Physician"],"original-title":[],"deposited":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T14:55:36Z","timestamp":1756479336000},"score":1,"resource":{"primary":{"URL":"https:\/\/e-mfp.org\/wp-content\/uploads\/20.45_12Jul2025.pdf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,12]]},"references-count":0,"URL":"https:\/\/doi.org\/10.51866\/cr.776","archive":["CLOCKSS"],"relation":{},"ISSN":["1985-207X","1985-2274"],"issn-type":[{"value":"1985-207X","type":"print"},{"value":"1985-2274","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,12]]}}}