Clinic Kutaisi

Intracranial hematoma

An intracranial hematoma occurs when blood vessels in the brain or between the brain and skull burst. The resulting bruise burns the brain tissue

An intracranial hematoma can develop when the fluid surrounding the brain is unable to absorb the force of the impact from a blow or sudden stop, causing the brain to hit the inside of the skull and become numb.

Some head injuries, such as concussions, are mild problems, but intracranial hematomas are life-threatening and require immediate attention.

In the case of intracranial hematoma, it is often necessary to perform an operation to remove the blood


The most common cause of intracranial bleeding is head trauma, which occurs during car, motorcycle or bicycle accidents, falls, assaults, and sports. A minor head injury is more likely to cause bleeding in an older person, especially if he or she is taking an anti-clotting drug such as aspirin. You may have a serious injury even if there are no outward signs of injury

Hematoma can be subdural, epidural and intraparenchymal

Subdural hematoma

This occurs when blood vessels, mainly veins, rupture between the brain and the inner lining of the brain. At this time, a bruise occurs, which burns the brain tissue As the hematoma grows, progressive loss of consciousness develops and the chance of death increases

There are three forms of subdural hematoma:

  • Acute This form is the most dangerous It is usually caused by severe head trauma and signs and symptoms appear soon after
  • Subacute Signs and symptoms appear days or weeks after the injury
  • Chronic The rarest form, in which bleeding develops slowly, and symptoms appear after several weeks At this point, you may not even remember when you had your head injury

All three forms require medical attention as soon as signs and symptoms appear Otherwise, irreversible brain damage will develop

People who:

  • take aspirin or other blood-clotting drugs
  • excessive alcohol consumption
  • are old

have an epidural are at increased risk of subdural hematoma. As a result, a bruise is formed, which penetrates the brain tissue

Some people do not lose consciousness, but most are asleep or comatose from the moment of the injury. Epidural hematoma in the case of damage to a large artery can be fatal without immediate treatment

Intraparenchymal Hematoma

This form of hematoma, also known as an intracerebral hematoma, develops when blood collects in the brain. Multiple intraparenchymal hematomas can be present in the brain after a head injury

Intraparenchymal Parenchyma Injuries often damage the axons in the white part of the brain. Axons carry electrical impulses from neurons in the brain to the rest of the body Violation of this connection can lead to serious brain damage
Signs and symptoms of an intracranial hematoma may appear immediately after the head injury or several weeks later After a head injury, you may feel fine for a period of time, called the lucid interval Over time, the pressure on the brain increases, producing the following signs and symptoms:

  • Increasing headaches
  • Vomiting
  • Drowsiness or gradual loss of consciousness
  • Dizziness
  • Confusion
  • Irregular size These are:

    • Lethargy
    • Consciousness
    • Fainting

    When to consult a doctor


    Intracranial hematoma can be life-threatening Urgent care is often required

    After a head injury, seek immediate medical attention if:

    • You lose consciousness
    • You have any signs or symptoms of an intracranial hematoma

    Signs and symptoms of an intracranial hematoma may not be apparent at first, so observe for a long time the physical, For example, if a person feels fine after an injury but soon begins to slur their speech, call 911 immediately.

    If you feel better after an injury, at least ask someone to pay attention to you After a head injury, you may develop memory loss and forget about the injury At this time, another person is more likely to recognize the signs of an intracranial hematoma

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