Doctor insights on:
Chronic Subdural Hematoma Recovery
I had burr-hole surgery for a subdural hematoma in 2004. I've had a good recovery except for persistent upper-body weakness. Is this outcome normal?
Bruises, or ecchymoses, are a discoloration and tenderness of the skin or mucous membranes due to the leakage of blood from an injured blood vessel into the tissues. Pupura refers to bruising as the result of a disease condition. A very small bruise is called a petechia. These often appear as many tiny red dots clustered together, and could ...Read more
Blood around brain: There are three layers of tissue that surround the brain, known collectively as the "meninges." the outermost layer is the dura mater, the middle layer the arachnoid mater, and the layer closest to the brain the pia mater. When veins that go between these layers rupture - often because of trauma - blood can start to pool between the dura mater and arachnoid mater causing a subdural hematoma. ...Read moreSee 1 more doctor answer
Not always: Close to 90% of pts with sdh's experience headaches, but in some cases, these are very nonspecific, and in older pts, may not occur at all. May be tough to diagnose early on, and may even seem like a stroke, but then sudden catastrophic herniation seemingly out of blue. So, if head injury, headache, nausea and vomiting, dizziness, and especially focal weakness, numbness, get examined. ...Read moreSee 1 more doctor answer
Feel bleed: 0nly way to feel bleed is through symptoms it causes. A chronic subdural is not acute and rarely if ever causes new s or old symptoms to recur. I use rarely s very very remote possibility. Keep in check with surgeon until discharged. ...Read more
How long after a head injury does a chronic subdural hematoma typically present in terms of symptoms? Can it present up to 1 year later?
Unpredictable: Usually most of the time immediately in couple of hrs some times few few days , epidural takes more time , will have lucid interval , some times dormant for months , the reason head injury needs evaluation by trained physician and CT scans are required most of the time , clear instructions from ER at the time of discharge ...Read more
Depends : Depends on symptoms and age of person. Older with more weakness/confusion. If surgically drained on somebody doing well, they may spend anywhere from 1-7 days in the hospital. If they need more assistance, getting around/safety around house etc. Would take more time. Good question to ask the team helping you. ...Read more
After head injury, if CT within 48 hours is normal, is it possible for a chronic subdural hematoma to develop later despite the normal initial CT scan?
Is a chronic subdural hematoma detected by CT scan important or just a normal occurance in a 83 year old that hit head 3 days prior to scan?
Chronic > 3 days: "Chronic" means that the bleeding began a few wks after injury. Thus, it is less likely that the hit to the head 3 days prior to the head CT caused the "chronic" subdural hematoma (SDH). SDH and head trauma are risk factors for seizures and other conditions. The patient should be closely monitored and see a neurologist for evaluation. http://www.nlm.nih.gov/medlineplus/ency/article/000781.htm ...Read more
I bumped my temple 72 hours ago. No headache, pupils fine, and not dizzy. Should I still worry about subdural hematoma:acute, subacute and chronic?
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