expert doctor “Dried hematoma in the brain” occurs more in the elderly group. Plus it’s difficult to notice symptoms.
Today (10 April 2023) Prof. Dr. Teerawat Hemajutha Professor of Neurology Department of Internal Medicine Faculty of Medicine Chulalongkorn University Give an interview about the case of a patient with “Dry blood clot in the brain” that for symptoms of dry blood clot in the brain can occur in general There are incidents both domestically and internationally. It is often found in the group of senators or the elderly.
“Because when you get older Strained veins in the skull may deteriorate or atrophy. When the brain is hit Even if it’s not hit hard It causes the veins that are stretched to leak blood to the surface of the brain under the meninges. and with a vein low blood pressure The blood will gradually seep out and will stop flowing on its own. It takes about 1-2 months for the blood to disappear. Then it will be left as a thick protein juice. that sometimes may expand by that moment Patients may not have any symptoms at all, so they are unaware of the presence of protein fluid under the cerebral cortex. But in the case of very large expansion It can cause abnormal symptoms such as headaches, some cases have symptoms similar to epileptic seizures, ”Prof. Dr. Teerawat said.
Prof. Dr. Teerawat said To see if there is a clot of protein in the brain or not. must use a brain computer to check The need for perforation therapy must then be assessed. which must be looked at case by case, some cases that do not affect the functioning of the brain because the brain can adapt There is no need to drill out.
“The blood that happened not in the real brain But piled up on the brain surface. or the heat may cause the patient to lose consciousness Then when going to check It may be found that there is protein in the cortex. which must be carefully looked at what happened before or after And is it necessary to drill out? must be looked at individually, ”Prof. Dr. Teerawat said.
The reporter asked order of symptoms It seems to be gradually going, how to observe? Prof. Dr. Teerawat said The symptoms were not acute. But must see if there is repeated hemorrhage in the brain surface or not because it will make the protein water expand faster which if the brain can’t adapt It caused a complaint to come up. As for the caution of the elderly not to cause risks It’s difficult. Because even if you fall and put your body down can be disturbed to the veins in the brain causing the blood to leak come out as well Including some people when they are elderly, they will start taking anti-coagulant drugs, so when the blood seeps out. causing the blood to flow non-stop The more blood comes out on the surface of the brain. Whether it’s the heart or the brain to prevent that ton. Always have an indication and be under the evaluation of a physician.
However, Prof. Dr. Teerawat said for the bleeding in the brain There are both gradual symptoms as mentioned above and another type is sudden bleeding from severe impact such as falling or being hit on the head. which makes the patient forget the events that happened The location that was hit If the temple The skull is thin and has arteries. It causes an artery to rupture on the cerebral cortex. This will be a different case with the veins, so the arterial rupture will occur quickly. And during the first shock, there may be no abnormalities in the brain computer. Because red blood will gradually Soak up and come out quickly in the latter, so you must lie down and see the symptoms at the hospital for at least 24 hours.