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All Posts Tagged: Brain contusion

Intracerebral hematoma (contusion)

thlaseis1

Post-traumatic intracerebral hematoma occurs following TBI. It may not be accompanied by a skull fracture. Its diagnosis is made by CT. Clinically, the patient presents with neurological symptoms such as disturbances of the level of consciousness, peritraumatic amnesia, disorientation, agitation, drowsiness, weakness of one side of the body, and other symptoms. If the contusion is limited and the neurological image is good, no surgery is required, only hospitalization for a few days and a repeat CT scan. However, if the symptoms are severe or worsen, surgical removal of the hematoma is required to decompress the brain. Permanent removal of part of the skull bone may be required to create enough space in the brain and to treat cerebral edema (swelling of the brain). Sometimes fractures are fatal despite surgery, or they may leave the patient with severe permanent disability.

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Epidural hematoma

episkliridio

 

This is a hematoma that forms under the bones of the skull, including the meninges of the brain. These hematomas usually occur following a fracture of the skull bones and are usually due to bleeding of the arteries running between the meninges and the bone, in the fracture area. The diagnosis is made by cerebral CT. It is more common in young people. If not diagnosed and operated on immediately, this can be fatal. The symptoms include severe headache, vomiting, drowsiness, loss of consciousness, neurological deficit (weakness of one side of the body), and after their onset, symptoms usually progress rapidly. If diagnosed early, symptoms are relieved via a simple craniotomy, which has a very good prognosis.

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