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Acute (Subacute) Subdural Hematoma

Overview

Acute (subacute) subdural hematoma is a kind of brain disorder that results in collection of blood in between the outer and inner membranes that cover the brain. The disorder shows its symptoms within a short span of time after a head injury. People of all age group are likely to affect from the disorder. Though, the disorder is less common, leaves fatal effect if left untreated. Subdural hematoma - acute/subacute is an alternative name of the disorder.


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Causes

Acute (subacute) subdural hematoma is mainly caused by head injury. It is commonly said and believed that among all head injury, acute subdural hematoma is the deadliest. In adults, the disorder can be caused even by minor head injury. It happens that for many days or weeks, it goes unnoticed. Some subdural hematomas occur spontaneously also, without any cause. However, certain conditions can increase its chances of occurrence. Some of the conditions are assorted below:

  • Repeated head injury
  • Recurrent falls
  • Intake of heavy anticoagulant medications
  • Excessive intake of alcohol

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Signs & Symptoms

The most common symptoms experienced in the disorder are described below:

  • Head injury (either severe or minor)
  • Impaired vision, eye droop
  • Paralysis
  • Headache, changes in personality
  • Numbness in a limb
  • Difficulty in balancing or walking
  • Nausea and vomiting

In infants, the common symptoms observed are:

  • Irritability
  • High-pitched cry
  • Feeding difficulties
  • Increased sleepiness
  • Persistent vomiting

It is necessary to treat the condition effectively as it may result in death of the affected person, if left untreated.

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Prevention

No prevention exists for the disorder. However, if you have had any head injury, then it is advised to seek medical attention immediately.  
 


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Treatments
surgery Modern Medicine

Treatment of the disorder is performed in order to reduce pressure on the brain. It is important to disclose that acute (subacute) subdural hematoma is an emergency condition. Therefore, health professionals prefer performing emergency surgery for treating it effectively. Surgery is basically carried out with the aim of locating and controlling bleeding and for removing clotted blood. In the surgery, a small hole is drilled in the skull that aids in draining blood and thus, pressure on the brain is reduced. Sometimes, craniotomy surgery is performed in treating the severe cases.

Depending upon the type of subdural hematoma, how much brain has been damaged and severity of the symptoms, medications are recommended by health professionals. For reducing swellings, corticosteroids and diuretics are recommended. For controlling or preventing seizures, anti-convulsion medications like phenytoin are suggested.

surgery Modern Medicine

Treatment of the disorder is performed in order to reduce pressure on the brain. It is important to disclose that acute (subacute) subdural hematoma is an emergency condition. Therefore, health professionals prefer performing emergency surgery for treating it effectively. Surgery is basically carried out with the aim of locating and controlling bleeding and for removing clotted blood. In the surgery, a small hole is drilled in the skull that aids in draining blood and thus, pressure on the brain is reduced. Sometimes, craniotomy surgery is performed in treating the severe cases.

Depending upon the type of subdural hematoma, how much brain has been damaged and severity of the symptoms, medications are recommended by health professionals. For reducing swellings, corticosteroids and diuretics are recommended. For controlling or preventing seizures, anti-convulsion medications like phenytoin are suggested.

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