chronic subdural hematoma…

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subdural hemorrhage, chronic, subdural hematoma, chronic, a chronic subdural hematoma, "old" collection of blood, blood breakdown products between the surface, the brain, its outermost covering, dura, chronic phase of a subdural hematoma begins several weeks, initial bleeding, tiny veins, bridging veins run between the dura, surface, the brain, a subdural hematoma develops, veins tear, leak blood, the result of a head injury, a collection of blood then forms over the surface, the brain, chronic subdural collection, problem is not discovered, blood leaks, veins slowly over time, a subdural hematoma is more common, in the elderly, normal brain shrinkage occurs, aging that stretches, weakens the bridging veins, veins, more likely to break, in the elderly, after a minor head injury, a subdural hematoma, occur spontaneously, accident, injury, risks include head injury, old age, chronic use of aspirin, anti-inflammatory drugs ibuprofen, blood thinning, anti-coagulant, chronic heavy alcohol use, many diseases associated, blood clotting problems, headache, confusion, coma, decreased memory, seizures, weakness, numbness of arms, legs, face, difficulty speaking, swallowing, difficulty walking, physical exam, full neurologic work-up to test mental functions, strength, sensation, coordination, walking, balance, signs, subtle, is any suspicion of a hematoma, a head ct, head mri, most likely be, further evaluate the problem, goal, control symptoms, minimize, prevent permanent damage, brain, corticosteroid medications, reduce any swelling, the brain, anticonvulsant medications, phenytoin, control, prevent seizures, surgery, drilling small holes, in the skull to relieve pressure, allow blood to be drained, large hematomas, solid blood clots, removed, a larger opening, in the skull, craniotomy, few chronic subdural hematomas heal themselves over time, require neurosurgery, in the case of significant brain displacement, neurologic problems, seizures, chronic headaches, chronic subdural hematomas return after drainage, a second surgery necessary, permanent brain damage, persistent symptoms, loss of memory, dizziness, headache, anxiety, difficulty maintaining attention, seizures, the risk of permanent brain damage, call a health care provider promptly, someone else develops symptoms of chronic subdural hematoma, take the person, person has convulsions /seizures, isn't responsive, loses consciousness, avoid head injuries by using seat belts, bicycle, motorcycle helmets, hard hats, appropriate.