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How Is Acute Subdural Hematoma Treated?

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Posted on Mon, 2 Mar 2015
Question: With a subdural hemetoma can you drill through the skull and the dura to relieve the pressure or do you have to apply suction to get the blood out?
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Answered by Dr. Ajay Panwar (32 minutes later)
Brief Answer:
Craniotomy/Burr hole drainage.

Detailed Answer:
Hi XXXXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

1. Acute subdural hematoma is usually treated by craniotomy(removing a scalp bone flap and again putting it in place after surgery),of the scalp area overlying blood.
2. If very large area of hematoma,then craniectomy(removing a scalp bone flap and not putting it back in place after the surgery) can be done.
3. Chronic subdural hematoma usually drained by making holes(burr holes) in the scalp and draining by suction through a small catheter.In this procedure,normal saline is used for irrigating and then suctioning.

Hope,I have answered your query.If this reply helps you,please close the thread-rate it and write a review else you are welcome to ask the follow up queries.

DR.Ajay panwar,
MD,DM(Neurology)
Note: For further queries related to kidney problems Click here.
Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Ajay Panwar

Neurologist

Practicing since :2007

Answered : 1827 Questions

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How Is Acute Subdural Hematoma Treated?

Brief Answer: Craniotomy/Burr hole drainage. Detailed Answer: Hi XXXXXX, Thanks for being on healthcaremagic.com. I am Dr.Ajay Panwar,a neurologist,here to answer your query. 1. Acute subdural hematoma is usually treated by craniotomy(removing a scalp bone flap and again putting it in place after surgery),of the scalp area overlying blood. 2. If very large area of hematoma,then craniectomy(removing a scalp bone flap and not putting it back in place after the surgery) can be done. 3. Chronic subdural hematoma usually drained by making holes(burr holes) in the scalp and draining by suction through a small catheter.In this procedure,normal saline is used for irrigating and then suctioning. Hope,I have answered your query.If this reply helps you,please close the thread-rate it and write a review else you are welcome to ask the follow up queries. DR.Ajay panwar, MD,DM(Neurology)