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Huge subdural hematoma!

Huge subdural hematoma!

A subdural hematoma is among the deadliest of all head injuries. The bleeding fills the brain area very rapidly, compressing brain tissue. It occurs not only in patients with severe head injuries but also in patients with less severe head injuries, particularly those who are elderly or receiving anticoagulants. In a chronic subdural hematoma, small veins on the outer surface of the brain may tear, causing gradual and slow bleeding in the subdural space, which can hide symptoms for several days or weeks. Small subdural hematomas can be managed by careful monitoring until the body heals itself. Other small subdural hematomas can be managed by inserting a temporary small catheter through a hole drilled through the skull and sucking out the hematoma. The big ones require surgery. This picture shows the skull wide open with the brain completely exposed after performing a craniotomy and the hematoma being carefully evacuated.



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