Hi,

Based on the information you are wanting to know if the subdural hematoma can lead to behavioral changes.

A subdural hematoma occurs when a blood vessel near the surface of the brain bursts. Blood builds up between the brain and the brain's tough outer lining. The condition is also called a subdural hemorrhage.

It may lead to certain changes depending upon which are of brain was under pressure and how long it had before the treatment way given, along with the damaged caused to brain while operating for removal of the hematoma. There are various unknown entities and its difficult to say which may act and what are out comes , but its possible to have some behavioral changes in person who had subdural hematoma.

Thanks, hope it helps.
Dr. JAY PATEL

The current scenario depicted by you appears to be a part of mood disorder (likely to be Bipolar Disorder late onset type) where mood fluctuations do occur between depression and mania. Hematoma sustained at age of 16 is unlikely to implicate current symptoms directly however there could be a possibility that he also had some neuronal damage like concussion or minor intracerebral bleed which can manifest later. sometimes Personality changes are seen in cases with head injury which develop within a year or two of the damage. Here in your description it is not clear whether these behavioral problems started gradually after injury or has been noticed only off late?
Neverthless it would be advisable to get him evaluated with a neuropsychiatrist, get an imaging (MRI brain preferably) if not done in recent times as well as monitor for any memory & other cognitive deficits. This could help not only in identifying the cause but also in planning intervenion if required.

Hi,
Thanks for using healthcare magic.

I have gone through your available history.

Post head injury psychosis is common entitiy to occur in head injury patients. But in your case what i understand is hematoma occurs at 16 years of age and behavioral symptoms have developed after almost after 30 years which is less common to occur.

If he has symptoms since age of 16 , there are possible link up.

In any case, you should take him to psychiatrist for detailed evaluation and management. Doctor may advise him to take anti psychotic agents to control his behavior.

I hope It helps.

Thanks.