Doctor insights on:
Medicine For Intracranial Hematoma
Intracranial hematom: Treatment is based on symptoms - in some cases the surgeon lets the hematoma resorb by itself if the symptoms are minimal. If there are neurological findings such as speech problems, weakness in the arms or legs, etc then surgery might be indicated to remove the clot. ...Read more
2 yr old with 5 or 6 tbi past 4 months last one 3wks ago mild to moderate headaches since 3 months continue worried about intracranial hematoma?
Have it evaluated: It is concerning to have that many tbis in a short period of time. There is a cumulative effect to the tbis so you want to avoid them particularly at an early age. If there are still symptoms, you need to have a physician evaluate. A neurologic evaluation may reveal findings that could suggest increased intracranial pressure. This would then prompt a ct or MRI to better clarify. ...Read more
Taking keppra (levetiracetam) 750 ml per day after one seizure resulting from intracranial bleeding and subdural hematomas. How long to taper off meds?
Depends on location: The time to begin tapering is somewhat dependent on the size and location of the hemorrhage. Hemorrhages located at the gray/white junction of brain tissue are more likely to be site of seizures than those hemorrhages confined to the white matter or basal ganglia and require longer treatment. Your neurosurgeon or neurologist would have the best estimate based on imaging studies. ...Read more
Seriously ill: Intracranial hemorrhages regardless of their location, subdural, epidural, subarachnoid or intraparenchymal are serious conditions. Epidural hemorrhages and subdural hematomas are addressed sugically. Aneurysmal subarachnoid hemorrhage can be addressed surgically or by coiling. Intraparenchymal hemorrhage is usually treated medically, though complications may require neurosurgical assistance. ...Read more
Immature Vessels: Infants born before 30 weeks of pregnancy are at highest risk for such bleeding. The smaller and more premature the infant, the higher the risk for ivh. This is because blood vessels in the brain of premature infants are not yet fully developed and are extremely fragile. The blood vessels grow stronger after 30 weeks of pregnancy. ...Read more
Premi???: Your question states kid was born at 6m. If u mean 6m into a pregnancy, yes a kid born that prematurely is susceptable to to intracranial hemorrhage due to the weaker blood vessel walls in the fetal brain.Blood pressure shifts during the hours of intensive care can result in leaks (hemorrhage). ...Read more
I had an intracranial hemorrhage in April. I am a 48 y.o. African-American male. What is my life expectancy now? What can a neurologist help me with?
Decrease pressure: Mannitol is used to manipulate osmotic (or oncotic) forces to shift water from the tissue into the blood vessels. In the kidney, mannitol increases water excretion. So, in patients with increased intracranial pressure, the intent is to decrease the pressure by using mannitol to "pull" fluid out of the brain and then excrete it via the kidneys. ...Read more
What drugs are advised fofr someone with a brain tumor to reduce intracranial pressure when flying?
Brain tumor: I am not aware of any drugs given routinely for a patient with a brain tumor to reduce pressure for flying. In a situation like this best to discuss with the neurosurgeon their feelings about the safety of having a brain tumor and flying. ...Read more
I am taking Doxycycline and experiencing headache and light headedness. Could it be the medicine? Could it be Benign Intracranial Hypertension?
Yes: If you have blurred vision or worsening of a diffuse headache with reclining I would be concerned about Pseudotumor. We usually see loss of spontaneous venous pulsations in the back of the eye on exam. A lumbar puncture with an opening pressure of greater than 20 CM H2O is typically seen. Removal of some CSF should get rid of symptoms. Look for other causes. Diamox, Topamax (topiramate) and Zonegran can help. ...Read more
Which would you say is the most effective drug in treating idiopathic Intercranial hypertension? I'm scared about taking Topiramate
Not sure if I got a bruise from an accident or being punched. Could the bruises be side effects from drug abuse?
Depends on drug: Depends on the drug. Which one were you referring to? ...Read more
My son woke up with a bruise on his hip, cyist like sores on his body and trouble urinating he is a heavy drug user?
See dr asap: I would need more information, including which drugs he uses and how he takes them (ie, injects), to help narrow down possible diagnoses. My biggest concern is that sores can be do to skin infections from injecting, and trouble urinating from kidney failure or an STD, Take him for medical evaluation asap. Take Care! ...Read more
31yo got an accident, something hit chest, recognized hours later that hurt inside but no bruise. Had CT scan&medicine by doc. But still hurt. What to do?
It can take awhile: Hematomas are collections of blood underneath the skin that lie within the soft tissue. They can occur from trauma or happen spontaneously. They body will slowly reabsorb them with time in general and it can be difficult to estimate how long that can take depending on the size, extent and location of the hematoma. ...Read more
DependsOnLocation: Most hematomas do not need any treatment as the blood gets reabsorped in the body, It depends part of body is the hematoma is. Sometimes the hematomas get calcium in it (calcified) and leaves a firm lump. Depending on the location. Some are serious like1Subdural Hematoma which presses on brain2Epidural in back pressure on spinal chord 3Subungal under nails need drainage 4Splenic, Hepatic or in mesentry ...Read more
Apply warm soakes: It will go away in time. Hematomas are collection of blood in soft tissue due to injury, or result of invasive procedures most of the time they will resolve on their own, not the blood clots that cause embolism, need to drain & evacuate if they are pressing on a vital structures, or huge, drainage or even aspirations, has potential danger of getting infection. ...Read more
Yes: Symptomatic chronic (>30 days) subdural hematomas are often evacuated with two burr holes. Acute (. ...Read more
? Where: Most hematomas spontaneously resolve in time (gone within 3-5 weeks). On a rare occasion some hematomas are walled off and may need surgical removal. (hematomas in different areas, for example a more serious sdh (sub dural hematoma) needs to be cared for emergently as it can cause pressure on the brain, etc.) hope that helps answer your question. ...Read more
What's the question?: Yes it's possible to get a hematoma in a hysterectomy incision. If it's not enlarging, we usually leave it alone. It will "tamponade" itself off and stop growing, then slowly resorb. If it's enlarging, the incision would be opened and explored to tie off the bleeding vessel. ...Read more