A chronic SDH is an “old” collection of blood and blood breakdown products between the surface of the brain and its outermost covering (the dura). The chronic phase of a subdural hematoma starts several weeks after the first bleeding.
A SDH develops when the tiny veins which run between the dura and surface of the brain (bridging veins) tear and leak blood. This is usually the result of a mild head injury.
A collection of blood then forms over the surface of the brain. In a chronic subdural collection, blood leaks from the veins gradually over time, or a fast hemorrhage is left to clear up on its own.
A subdural hematoma is more common in the elderly because of normal brain shrinkage that occurs with growing age. This shrinkage stretches and weakens the bridging veins. These veins are more likely to break in the elderly, even after a minor head injury. You or your family may not remember any injury that could explain it.
In some cases, there may be no symptoms. However, depending on the size of the hematoma and where it presses on the brain, any of the following symptoms may occur:
Confusion or coma
Difficulty speaking or swallowing
Weakness or numbness of arms, legs, face
The goal of treatment is to control symptoms and reduce or prevent permanent damage to the brain. Surgery may be needed. This may include drilling small holes to relieve pressure and allow blood and fluids to be drained. Large hematomas or solid blood clots may need to be removed through a larger opening in the skull (craniotomy).
Hematomas which do not cause symptoms may not require treatment.
A Neuro Surgeon does the surgery.
Call your doctor immediately if you have:
Has convulsions (seizures)
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Desun hospital Siliguri is premium superspeciality hospital in Eastern India with state of art health care infrastructure. Desun hospital Siliguri is NABH and NABL accredited and follow strict quality parameters as per requirements.
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