Headbanging to heavy metal rock music can be complicated by a subdural hematoma with headache.
Headbanging consists of violent back-and-forth, up-and-down or rotational head movements matching a music's rapid tempo.
Head movements with severe acceleration/deceleration can cause rupture of bridging veins with formation of acute, subacute or chronic subdural hematoma.
Factors that may increase the risk:
(1) very rapid tempo to the music
(2) trying to match head movements to each beat
(3) prolonged episodes
(4) frequent episodes
Factors that can increase the risk of subdural hematoma:
(1) coagulopathy or anticoagulant therapy
(2) cocaine or other stimulant drugs
(3) head injury (associated with alcohol abuse or falling down)
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