A subdural hematoma is a buildup of blood between the layers of tissue that cover the brain. The blood collects under the layer closest to the skull. (This layer is called the dura.) The bleeding is most often caused by a head injury, but there can be other causes. In a young child, even a minor injury can lead to a subdural hematoma.
The buildup of blood inside the skull can put pressure on a child's brain. This may cause symptoms, such as a severe headache, confusion, or seizures.
There are two kinds of hematomas: acute and chronic.
Your child may have had a test such as a CT scan or MRI. The doctor may also have done a test to check the pressure inside your child's skull.
Bleeding inside the skull may get worse over time. So it is very important to pay attention to your child's symptoms. And be sure your child sees a doctor for follow-up testing.
In some cases, treatment is needed to remove the blood. This helps relieve the pressure on the brain. The doctor may make one or two small holes in the skull. For a large hematoma, the doctor may need to remove a piece of the skull.
Your child may not need treatment if the buildup of blood is small and is not causing symptoms.
If your child takes aspirin or some other blood thinner, he or she may need to stop taking it. The doctor may give your child treatment to undo the effects of the blood thinner. This can help prevent more bleeding in the skull.
The doctor has checked your child carefully, but problems can develop later. If you notice any problems or new symptoms, get medical treatment right away.
Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.
Call 911 anytime you think your child may need emergency care. For example, call if:
Call your doctor now or seek immediate medical care if:
Watch closely for changes in your child's health, and be sure to contact your doctor if:
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Current as of: June 4, 2018
E. Gregory Thompson, MD - Internal Medicine
& Martin J. Gabica, MD - Family Medicine & Kathleen Romito, MD - Family Medicine & William H. Blahd, Jr., MD, FACEP - Emergency Medicine
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