Doctor insights on:
Nursing Care And Subdural Hematoma
SDH: A subdural hematoma typically occurs from bridging cortical veins being torn causing blood to accumulate on the surface of the brain under the dural covering of the brain. Trauma is the most common cause. In the elderly, even relatively minor head trauma can cause a sdh. Surgery is often used to evacuate the hematoma. ...Read more
Yes: This is a common circumstance.Get a more detailed 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 more
Different: A hematoma is like a bruise or collection of blood from a trauma. In parietal hematoma this is in the parietal lobe of the brain, so it is in the brain tissue itself. A subdural hematoma is just under the dura mater one of the coverings of the brain so it is up close to the skull. ...Read more
Hematoma- blood coll: Hematoma is collection of blood somewhere in the body...anywhere in the body....it's called a hematoma. Parietal tells us the location (Parietal lobe of the brain) usually due to high blood pressure while Subdural hematoma means collection of blood below the level of the DURAL cover of the covering of the brain called the meninges...often times traumatic cause but also often can be spontaneous. ...Read more
Self inflicted: Yes if bang your head with force against wall or other hard object. Driving when you should not and getting into accident causing head injury and severe sports head injury. ...Read more
Absolutely: Especially in older patients, many subdural hematomas show little to no symptoms depending on size of the hematoma, location, and how old it is. ...Read more
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
Definitions: Concussion: "head injury resulting in loss of consciousness, loss or memory, or combination of both." hematoma: a localized area of bleeding within the brain, and can be above the outer covering, an "epidural hematoma", or below the dura, a "subdural hematoma". Hematoma can occur in absence of concussion. Mri films invariably reveal presence of such bleeding. ...Read more
Can a subdural hematoma accumulate to 6cm in less than one hour on a 3 yr. Old boy. After a fall?
6 cm in diameter...: ...Not thickness, right? Yes, it's possible; subdural is a venous bleed, lower pressure, but it can certainly spread fairly quickly around the subdural space. How the hemorrhage behaves over time is a better guide to when it occurred. Also, on ct scan, its density in hounsfield units varies with time from accumulation. ...Read more
Should I be concerned about subdural hematoma (like Natasha Richardson)? I know temporal injuries can be fatal.
How long does it take for a large subdural hematoma to be reabsorbed? I had burr hole evacuation two weeks ago and am being monitored.
2-4 weeks: Usually 2-4 weeks. Usually, I order a ct about 4 weeks afterwards to confirm that it has resolved. Good luck. ...Read more
I'm diagnosed with subdural hematoma, and needs surgery immediately. But could this surgery has any side effects later on or could it threaten my life?
This surgery is safe: Subdural hematoma may be minor, requiring no treatment, or large and life-threatening. Generally surgery is recommended if the hematoma is causing symptoms or is large on ct or mri. The primary risks of surgery are infection and rebleeding, possibly requiring reoperation. The risk of brain injury or long-term side effects is low. ...Read more
Forget it: Acute subdural is a serious event but resolves over time. Chronic subdural is possible but unlikely if you are otherwise healthy. Headaches and seizures may be long term sequelae, but are easy to manage. Follow up scans should be done. Periodic neurological follow up would be appropriate. ...Read more
It can: If left untreated. Small subdural can be left alone, particularly if they do not cause pressure on the brain or cause symptoms such as a headache. Larger subdurals need to be drained because of pressure on the brain. They should also be monitored to make sure they are not groing. Prevention of the primary cause should be undertaken too. ...Read more
Stop hitting head: A subdural hematoma is usually a result of trauma. There is rupture of blood vessels just beneath the dura that causes a blood clot. This can dissolve to a fluid collection with a membrane. Usually this resolves and is of no significance. Rare cases rebleed or even grow, particularly if there is repeated trauma. ...Read more
Drainage: If a subdural is causing increased intracranial pressure and threatening herniation of brain structures, the surgical procedure is to drill a burr hole through the skull and drain the subdural blood. ...Read more
Neurosurgeon: You should visit with a neurosurgeon. Treatment depends on the amount of blood, your symptoms, and length of time you have had the finding. ...Read more
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
Subdural hematoma: I assume you have the bur hole as the subdural hematoma was treated? If your follow up CT scan was negative for hematoma then you are cleared. If there is still a hematoma causing pressure on the brain then you need to speak to the neurosurgeon that did the procedure about further treatment. ...Read more
Unless: You are on a blood thinner, chances are low. ...Read more