Cerebral Contusion and Intracerebral Hematoma
A cerebral contusion is a traumatic brain injury that causes scattered bleeding and bruising of the brain tissue. A hematoma is heavy bleeding into or around the brain. The severity of a TBI can range from a mild concussion to coma or even death. Cerebral contusion may occur along with a hematoma in the brain.
Treatment Options
Any minor or major brain injury should be monitored closely under a doctor’s supervision. It is an emergency condition which requires immediate treatment. The treatment options vary according to the type and severity of the injury.
Treatment may include
- Surgical intervention with a craniotomy to remove the cerebral contusion
- Medication to control the intracranial pressure
What are the symptoms of a Cerebral Contusion and Intracerebral Hematoma?
After any sort of a brain injury, the patient should be carefully observed and noted for the following symptoms
![Severe headache](https://www.kauveryhospital.com/wp-content/uploads/2023/04/Severe-headache.png)
![Nausea and vomiting](https://www.kauveryhospital.com/wp-content/uploads/2023/04/Nausea-and-vomiting.png)
![Slurred speech 1](https://www.kauveryhospital.com/wp-content/uploads/2023/04/Slurred-speech-1.png)
![Restlessness 1](https://www.kauveryhospital.com/wp-content/uploads/2023/07/Restlessness-1.png)
![Excessive drowsiness](https://www.kauveryhospital.com/wp-content/uploads/2023/04/Excessive-drowsiness.png)
![Changes in pupils](https://www.kauveryhospital.com/wp-content/uploads/2023/04/Changes-in-pupils.png)
![Confused state of mind](https://www.kauveryhospital.com/wp-content/uploads/2023/04/Confused-state-of-mind.png)
![memory loss](https://www.kauveryhospital.com/wp-content/uploads/2023/04/memory-loss.png)
![Changes in personality 1](https://www.kauveryhospital.com/wp-content/uploads/2023/04/Changes-in-personality-1.png)
![Depression](https://www.kauveryhospital.com/wp-content/uploads/2023/04/Depression.png)
![Irritability](https://www.kauveryhospital.com/wp-content/uploads/2023/04/Irritability.png)
![Changes in behaviour or emotions](https://www.kauveryhospital.com/wp-content/uploads/2023/04/Changes-in-behaviour-or-emotions.png)
![Seizures 3](https://www.kauveryhospital.com/wp-content/uploads/2023/04/Seizures-3.png)
![Loss of consciousness](https://www.kauveryhospital.com/wp-content/uploads/2023/04/Loss-of-consciousness.png)
![Confusion with regards to time and date](https://www.kauveryhospital.com/wp-content/uploads/2023/04/Confusion-with-regards-to-time-and-date.png)
A contusion occurs when a sudden physical assault causes damage to the brain.
The major causes of TBI are
- Motor vehicle accidents
- Sports or physical activity
- Assaults
- For people over 65, falls
- Contrecoup – TBI in response to the shaking of the brain within the confines of the skull
- Shaken baby syndrome – when a baby is forcibly shaken to cause extreme contrecoup injury.
Damage to a major blood vessel within the head can cause a hematoma or heavy bleeding in or around the brain.
A thorough physical and neurological examination of the patient along with an effective diagnostic procedure is important in evaluating the condition of the patient.
Diagnostic procedure
- Computed tomography (CT) brain scans
- MRI