Treatment in patients with cerebral hematoma due to traumatic brain injury

This article is expertly consulted by Master, Doctor Bui Ngoc Phuong Hoa - General Internal Medicine - Department of Medical Examination & Internal Medicine - Vinmec Danang International General Hospital.

Traumatic brain injury with hematoma is a type of severe traumatic brain injury, even with active treatment or hematoma management, patients are still at risk of permanent brain damage and can leave many sequelae such as: hemiplegia, epilepsy, speech disorders,...

A brain hematoma occurs when a blood vessel inside the brain or between the brain and the skull bursts, accumulating blood and compressing brain tissue.
The cause of cerebral hematoma is usually a head injury after a traffic accident or a strong impact on the head, in which hematoma after traumatic brain injury is the most common.

With a brain hematoma, signs and symptoms can occur within the first few weeks or longer after the head injury. Even many people after an injury feel completely fine, without any abnormalities, this phenomenon is called light interval. Over time, the hematoma forms and grows, increasing intracranial pressure, the patient begins to feel some of the following symptoms:
Headache increasing in intensity until severe pain Nausea and vomiting Vomiting, dizziness Frequent drowsiness, forgetfulness, confusion and gradual loss of consciousness Unequal pupils One limb is weak Blood pressure increases As the hematoma grows, symptoms such as coma, unconsciousness, Seizures are becoming more and more obvious

Because the symptoms of cerebral hematoma are often not too prominent in the early stages, many patients are often neglected and do not follow up in time, leading to many serious consequences.

Treatment of cerebral hematoma after traumatic brain injury usually requires surgical methods. Surgery helps to remove the hematoma in the brain to stop bleeding, avoid compression of the brain and reduce intracranial pressure.
However, if the hematoma is small, other methods can be considered, such as medication to reduce the patient's intracranial pressure (medical treatment).
It is necessary for patients to use antiepileptic drugs to prevent seizures when there is a large hematoma in the brain.
Patients and their family members need to absolutely follow the doctor's treatment instructions and closely monitor the progress of the disease, re-examine if the drug treatment does not help, or go to the doctor immediately if there are signs of illness. unusual signs such as a lot of headache, vomiting, convulsions,...

Cerebral hematoma after traumatic brain injury is a type of severe traumatic brain injury, so the treatment of cerebral hematoma and the recovery of sequelae due to nerve compression requires a long time, requiring the patient to be patient. The best recovery is the first 6 months, so you should practice actively during this time.
Master. Doctor Bui Ngoc Phuong Hoa has more than 24 years of experience in the field of neuropsychology. Doctor Hoa was formerly Deputy Head of the Department of Neurology - Quang Ngai Provincial General Hospital and participated in many continuous training courses on Epilepsy, Cerebrovascular Accident, Alzheimer's, Movement Disorders, Geriatrics. Endocrine Pathology.

In April & May 2021, when there is a need for examination and treatment of Traumatic Brain Injury at Vinmec Phu Quoc International Hospital, customers will enjoy double incentives:
- Free specialist examination and Received the Rehabilitation Package
- Reduce 50% of the cost for customers with a prescription for post-examination treatment. The program is limited to the corresponding technique of each hospital and to customers who perform this treatment technique for the first time at Vinmec.