Acute Subdural Hematoma in Patients with Intractable Epilepsy : Report of Two Cases

When trauma occurs secondarily to a generalized seizure in patients with intractable epilepsy, even a simple subdural hematoma may be fatal if there is a delay in diagnosis. We encountered two such patients, both of whom suffered an acute, fatal subdural hematoma without cerebral contusion (simple subdural hematoma) as a result of falling during a generalized convulsion. In some cases, ophthalmoscopic examination is critically important in the early detection of simple subdural hematoma.