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Subdural Haematoma
How is a subdural haematoma diagnosed?
Diagnosing a subdural haematoma involves several steps:
- Physical Examination. Neurological assessment to identify signs of brain injury.
- Imaging Tests
- CT Scan (Computed Tomography). Quickly identifies bleeding and the extent of the haematoma.
- MRI (Magnetic Resonance Imaging). Provides detailed images of brain tissue and blood vessels.
- Blood Tests. To check for clotting disorders and other potential causes.
How is a subdural haematoma treated?
Treatment for a subdural haematoma depends on the severity and underlying cause:
- Observation. Small, asymptomatic haematomas may be monitored with regular imaging and neurological assessments.
- Medications. To manage symptoms such as headaches and seizures. In some countries, steroids are given.
- Surgery
- Burr Hole Drainage. A small hole is drilled in the skull to drain the accumulated blood. Sometimes, more than one burr-hole is required, especially if the haematoma is on both sides of the brain.
- Craniotomy. A larger section of the skull is removed to access and remove or drain out the haematoma.
- Rehabilitation. Physical, occupational, and speech therapy to recover lost functions and improve quality of life.
This page has been reviewed by our medical content reviewers.
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