What follow-up care is recommended for patients who have been treated for a subdural haematoma?

Follow-up care for patients treated for a subdural haematoma should include a documented and agreed plan of care that is communicated to the patient and their family or carers, with clear details of who to contact for ongoing advice and support.

Neuroimaging follow-up should be considered based on the patient's recovery and clinical status to monitor for complications or recurrence.

Rehabilitation services should be offered in line with stroke rehabilitation and critical illness recovery guidelines to address neurological deficits and support functional recovery.

Monitoring for complications such as hydrocephalus is important, with consideration of cerebrospinal fluid drainage or diversion if neurological deterioration occurs.

Patients should be observed for signs of neurological deterioration, and if unexplained deterioration occurs, prompt imaging (such as CT head scan) is recommended to identify causes.

Additionally, awareness and assessment for hypopituitarism should be considered in the weeks to months following the injury, especially if symptoms such as low sodium or blood pressure abnormalities persist.