Unlike normal bruising or hemorrhage, subdural hematoma can pose a serious danger to life. The reason is that it is located in the gap between the arachnoid and the hard shell of the brain and at some point can cause it to squeeze. What is fraught with this phenomenon, you certainly can imagine.
Causes and mechanisms of development of subdural hematoma of the brain
The main reason for the formation of subdural hematomas is craniocerebral trauma. Moreover, it usually appears from the opposite side of the blow. Vessels in the place of damage are broken, and hemorrhage begins.
The dimensions of subdural hematomas are, as a rule, impressive - they reach 150 ml. Due to what the size of subdural hematomas is much larger than usual, blood absolutely freely spreads over the free space. Sometimes the layer of leaked blood can reach a half centimeter.
Bruises are not the only reason for the formation of subdural hematomas. Hemorrhages can also start on the background of the following factors:
- liver disease;
- frequent administration of anticoagulant drugs;
- blood diseases;
- autoimmune diseases;
- neurological problems;
- developing for a long time hypertension;
- benign and malignant neoplasms.
Varieties and methods of treatment of subdural hematomas of the brain
Specialists identified three main types of subdural hematomas:
- subacute;
- acute;
- chronic.
Depending on the classification, the manifestations of the problem may differ. But there are also such symptoms by which all types of traumatic and non-traumatic subdural hematomas can be characterized. These include the following:
- headache;
- loss of consciousness;
- noise in the ears ;
- increased blood pressure;
- nausea;
- vomiting;
- coma;
- disturbances in the work of the vestibular apparatus;
- a disorder of vision.
When identifying these symptoms, you can not delay with a visit to a specialist. Diagnosis of subdural hematoma can be done through a comprehensive examination, including computer and magnetic resonance imaging, as well as a number of special tests.
Treatment of acute, subacute or chronic subdural tomography is necessary exclusively surgically. Conservative treatment does not involve this problem.
The most effective methods of eliminating the hematoma are resection and bone-plastic trepanation. In the course of the operation, all the blood draining into the subdural space is thoroughly cleaned out, and the immediate
Recently, the procedure of endoscopic removal of hematomas begins to gain in popularity. It consists in removing excess blood through a tiny hole.
Consequences of chronic subdural hematoma of the brain
Living with subdural hematoma is very dangerous. This problem is fraught with extremely unpleasant consequences, which can be avoided with timely treatment.
Due to the fact that many patients neglect the symptoms of subdural hematoma, the death rate from this hemorrhage remains rather high. In addition, people who have not received treatment on time risk being disabled for life. It is important to remember that the displacement and compression of the brain with hematoma occurs very quickly. Therefore, the probability that brain activity can be disturbed is quite high.