{"id":8774,"date":"2025-12-12T16:05:43","date_gmt":"2025-12-12T15:05:43","guid":{"rendered":"https:\/\/neurohirurgija.in.rs\/?page_id=8774"},"modified":"2026-06-19T18:52:06","modified_gmt":"2026-06-19T16:52:06","slug":"subdural-hematoma-treatment-icu-prognosis","status":"publish","type":"page","link":"https:\/\/neurohirurgija.in.rs\/en\/subdural-hematoma-treatment-icu-prognosis\/","title":{"rendered":"Subdural Hematoma (SDH) \u2014 Treatment, ICU Care, and Prognosis"},"content":{"rendered":"\n
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\n Author:<\/span>\n \n Dr. Zeljko Kojadinovic, MD, PhD\n <\/a>\n \u2014 Neurosurgeon and Pain Management Specialist\n <\/div>\n\n
\n Specialized Experience:<\/span>\n 30 years of clinical expertise in neurosurgery and neurocritical care.\n <\/div>\n\n
\n Last medically reviewed:<\/span>\n June 06, 2026\n <\/div>\n<\/div>\n\n\n\n
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Who This SDH Page Is For<\/h3>\n <\/div>\n\n

\n This SDH (subdural hematoma) resource is designed for two groups: \n family members of patients with acute subdural hematoma in the ICU (who may be on a ventilator or remain unconscious after surgery), \n and patients recovering after a subdural hematoma, whether treated surgically or conservatively.\n

\n We explain what SDH means on CT, when surgery is needed, what \u201cnot waking up\u201d may mean after surgery, \n how ICU teams manage brain swelling and intracranial pressure (ICP), \n and what patients and families can realistically expect during the first 72 hours.\n

\n If the information feels overwhelming, or if you have questions about the current treatment strategy and prognosis, you can contact us to see how we provide an individualized\n \n neurosurgery second opinion\n <\/a>\n for your specific case.\n

\n It is a truth acknowledged in most neurotrauma guideline: standard protocols and algorithms can never replace an experienced neurosurgeon\u2019s individualized assessment.\n <\/p>\n<\/div>\n\n\n\n

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\n When families usually seek a neurosurgical second opinion\n <\/div>\n\n
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\u2022 The patient is not waking as expected<\/div>\n
\u2022 Explanations from doctors feel unclear or inconsistent<\/div>\n
\u2022 Families must decide about surgery or ICU treatment<\/div>\n
\u2022 There are many important questions that remain unanswered<\/div>\n <\/div>\n\n
\n In complex brain injuries, this is a normal and responsible step.\n If this reflects your situation, you can request an individualized neurosurgical review here:\n Request Second Opinion<\/a>\n <\/div>\n<\/div>\n\n\n\n
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\n Subdural Hematoma (SDH) \u2014 Quick Summary (Read This First)\n <\/h3>\n\n