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Mental Changes Resulting from Subdural Haematoma

Published online by Cambridge University Press:  29 January 2018

Donald W. Black*
Affiliation:
Department of Psychiatry, University of Iowa Hospitals and Clinics, 500 Newton Road, Iowa City, IA 52242, USA

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
Copyright
Copyright © Royal College of Psychiatrists, 1984 

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