Chronic subdural intracranial hematoma

A chronic case of subdural intracranial hematoma is basically a blood clot that forms on the surface of the brain amidst the brain and dura or dense exterior covering. This is considered as a chronic condition as the clot steadily forms over several days.

What are the indications?

  • Headache that gradually intensifies over several days
  • Loss of memory
  • Confusion
    Chronic subdural intracranial hematoma

    Headache that gradually intensifies over several days is an indication.

  • Nausea
  • Vomiting
  • Lethargy
  • Behavioral changes
  • Weakness
  • Seizures
  • Impaired vision

What are the causes of chronic subdural intracranial hematoma?

When it comes to chronic subdural intracranial hematoma, it typically occurs among those over the age of 60. In most cases, it is often brought about by atrophy of the brain or wasting that occurs as one starts to age or from other medical conditions.

Remember that the shrinkage can result to the tearing of the minor blood vessels on the surface of the brain which bleed into the space. Other usual causes include alcohol abuse, blood-thinning medications and seizures.

Management

In case the condition is suspected, it is vital to seek medical care as soon as possible. A MRI or CT scan might be required to properly diagnose the condition and determine the extent of the bleeding.

In most instances, the blood might drain and the pressure is released by creating a small-sized hole in the skull. Around 80-90% of cases result to evident improvement after the drainage with a few long-term side effects.

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