Trauma arising from penetrating wounds orstrokes - a hematoma of the brain. It is characterized by a violation of the functions of the body. Manifestations of trauma can be severe, moderate or slight. A slight defeat can change the mind a little, heavy leads to its loss and death.
Hematoma is characterized by a cluster of limitedthe amount of liquid blood in the resulting cavity as a result of closed or open tissue damage, organs with vascular rupture. It can spread to any part of the brain.
Types of hematomas
Distinguish the following types of intracranial hematomas: epidural, subdural, chronic subdural.
Epidural hematoma of the brain - congestionblood, which is caused by trauma and localized between the hard shell and the inner surface of the bones of the skull. It causes compression of a vital organ, which can be general and local. The cause of such hematomas is a trauma that causes temporary local deformation. It is often accompanied by depressed fractures of the bones of the skull, ruptured vessels of the hard shell of the brain. The blood that flows out of the damaged vessels flakes it and collects within the joints, where it is tightly fused to the inner bone plates. Therefore, this type of hematomas has a small area of distribution and a large thickness.
The voluminous accumulation of blood localized betweensolid and arachnoid medulla - subdural hematoma of the brain. Symptoms of this lesion are manifested in the compression of the brain, which in this case can also be general and local. These hematomas are the most common.
Chronic subdural hematomasposttraumatic nature is represented by bulk encapsulated hemorrhages. They are localized mainly under the hard shell of the brain. Hematomas cause compression of this organ. They have a capsule that limits them to healthy tissues. This is the difference between these hematomas from subacute and acute lesions. The capsule occurs after a trauma in a couple of weeks and determines the features of pathogenesis, clinical course and treatment tactics. The volume of hematomas is 50-250 milliliters.
Subdural hematoma of the brainchronic character has the following difference: long duration of the light interval. The compression symptom develops gradually, the patient's condition sharply deteriorates up to coma and sopor. This outcome is facilitated by the following additional factors: repeated head injuries, alcohol, overheating in the sun, colds. The clinical picture is similar to the diseases of the central nervous system: brain tumors, hemorrhages, stroke, epilepsy, encephalitis. Consciousness is confused, in the form of memory impairment and orientation in space, stunning.
Brain hematoma can have two typestreatment: conservative and operative. Conservative treatment is subject to small hematomas. Used analgesics, pressing bandages, cold compresses to the place of damage, physiotherapy. With large hematomas, a puncture is indicated with blood evacuation, then a pressure bandage is used. If there is bleeding, it is opened, then the bleeding vessels are bandaged. Sometimes hematoma of the brain is suppressed. The consequences of this condition are severe and unfavorable.
Hemangiomas of traumatic character are treated conservatively. Operative intervention in this case is shown in case of threats of inclinations and dislocations.
Acute traumatic subdural and epidural hematomas require urgent surgical intervention.</ p>