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I Went To A Doctor For My Headache And She
Question: I went to a doctor for my headache and she sent me for a CT of the head without contrast. The report says "There is a chronic subdural hematoma on the left. Although, there is mild effacement of the cortical sulci, there is no midline shift or effacement of the basal cisterns." She said I've been hit on the head or I some other trauma to the head and wants me to have a neurology consult ASAP. I don't recall being hit in the head or falling recently. Should I could be concerned?
Brief Answer:
it is a common neurosurgical problem
Detailed Answer:
HI, thanks for using healthcare magic
Chronic (long term) subdural hematoma is one of the more common neurosurgical conditions.
It is most commonly due to trauma but can also be related to: (1) use of anti coagulants eg aspirin and other meds for clotting
(2)bleeding disorder
(3)after a lumbar puncture
There are some persons where the size of the hematoma does not change size but in some persons it may increase. Unfortunately it is not possible to predict.
As your doctor stated, it would be best to see a neurologist.
If the hematoma is considered small by the radiologist and the neurologist and due to the use of aspirin or other meds that affect platelets (ibuprofen, naproxen etc)- then they may consider monitoring it and doing repeat CT scans at intervals
If it related to some types of bleeding disorders, then it is possible that it may improve on its own.
If neither of these are not the case, then a burr hole may be done, this is a common simple surgical procedure that aids in the removal of the blood. Most persons do well.
I hope this helps, feel free to ask any other questions
it is a common neurosurgical problem
Detailed Answer:
HI, thanks for using healthcare magic
Chronic (long term) subdural hematoma is one of the more common neurosurgical conditions.
It is most commonly due to trauma but can also be related to: (1) use of anti coagulants eg aspirin and other meds for clotting
(2)bleeding disorder
(3)after a lumbar puncture
There are some persons where the size of the hematoma does not change size but in some persons it may increase. Unfortunately it is not possible to predict.
As your doctor stated, it would be best to see a neurologist.
If the hematoma is considered small by the radiologist and the neurologist and due to the use of aspirin or other meds that affect platelets (ibuprofen, naproxen etc)- then they may consider monitoring it and doing repeat CT scans at intervals
If it related to some types of bleeding disorders, then it is possible that it may improve on its own.
If neither of these are not the case, then a burr hole may be done, this is a common simple surgical procedure that aids in the removal of the blood. Most persons do well.
I hope this helps, feel free to ask any other questions
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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