Hematoma Treatment.com

Brain hematoma is a term for collection of blood inside the skull (intracranial), either in the area of the brain (intracerebral), in the meninges or in the outer area of the brain (extracerebral). Brain hematomas are a direct result of cerebral hemmorhage, which usually occurs suddenly, especially in people with high blood pressure and with cerebral embolism due to chronic atheriosclerosis. Other causes of cerebral hemmorhage leading to a brain hematoma include trauma, brain tumors, vasculitis, coagulopathy, cerebral amyloid angiopathy and vascular malformations.

Brain hematomas can be life threatening. The blood that collects in the brain may impair brain function in the affected brain tissues.

There are three types of brain hematoma:

1. Epidural hematoma

An epidural hematoma usually occurs through a skull-brain trauma. There are two forms with different prognostic significance:
when arterial epidural hematoma inside the crack on the skull bones of arterial vessels, particularly the middle meningeal artery. Typically followed by a low symptom or symptom-free interval, which can be latent completely for minutes to hours. The bleeding is intermittent and increasingly pushes the dura mater and the inner brain. Nausea, vomiting, unconsciousness and dilated pupils on the affected side is the result. It can be fatal. In the hospital, surgery is usually an emergency, with the opening of the skull or the so-called little crown-hole behind and in front of the ear on the affected side to relieve pressure. With early treatment the chances of survival are at about 70% (20% with disabilities).

2. Subdural hematoma

A subdural hematoma is a bruise under the cerebral membrane between the dura mater and arachnoid. Acute subdural hematoma occurs in severe head injury. Chronic subdural hematoma occurs typically after minor craniocerebral trauma for at least two weeks, where (in 50 percent of cases). Old age and anticoagulation (due to drugs or alcoholic liver disease) promote its formation. In older people there is a physiological brain volume reduction that puts a strain on the bridging veins. They can be ruptured even bya a minor trauma. The flow of blood through the said subdural bridging veins can be hindered and in addition to venous congestion of the brain part creates a subdural hematoma. Headache, feeling of pressure, disorientation, disturbance of consciousness, and paralysis may be the consequences. When chronic subdural hematoma is drained to the outside, it has good prognosis.

3. Subarachnoid hematoma

Subarachnoid hematoma, as the name suggests, occures under the arachnoid or the clothes to the brain. This type of bleeding is arterial in nature and can lead to stroke, seizures, and other complications. Additionally, subarachnoid hematoma may cause permanent brain damage and a number of harmful biochemical events in the brain. Subarachnoid hematoma may be traumatic and spontaneous. Traumatic refers to brain injury that might be sustained in an accident or a fall. Spontaneous subarachnoid hematomas occur typically caused by ruptured aneurysms or blood vessel abnormalities in the brain.