Chronic Subdural Hemorrhage
Chronic Subdural Hemorrhage Treatment with VNSC
A chronic subdural hemorrhage occurs when blood slowly accumulates between the brain and its outer protective layer. This condition often develops over weeks or months, typically due to minor head trauma. The bleeding may start small but can expand over time, increasing pressure on the brain and leading to neurological symptoms.
While some cases may resolve on their own, many require medical intervention to prevent severe complications. If left untreated, a chronic subdural hemorrhage can cause significant brain damage or even become life-threatening.
At Vascular Neurology of Southern California (VNSC), Dr. M. Asif Taqi, a quintuple-board-certified neurointerventionalist, leads a team of experts specializing in diagnosing and treating chronic subdural hemorrhages. With cutting-edge medical technology and a patient-centered approach, we strive to provide the most effective treatment options to improve health outcomes.
If you or a loved one is experiencing symptoms, call (805) 242-4884 or contact us online to schedule a consultation. Our practices proudly serve Thousand Oaks, Westlake, Woodland Hills, Ventura, Camarillo, Calabasas, and the surrounding areas in Southern California as well as Las Vegas.
What Is Chronic Subdural Hemorrhage?
A subdural hemorrhage occurs when blood collects beneath the dura mater, the brain’s protective outer membrane. Unlike acute cases, which result from severe trauma, chronic subdural hemorrhages develop gradually, often due to minor head injuries.
This condition is more common in older adults, infants, and individuals on blood thinners as their blood vessels are more susceptible to rupture. Over time, small blood leaks accumulate, leading to pressure on the brain that can cause cognitive and physical impairments.
Types of Subdural Hemorrhages
Subdural hemorrhages are classified based on how quickly they develop and their severity:
Occurs immediately after a severe head injury and requires urgent medical attention.
Symptoms appear days or weeks after a head injury.
Develops slowly over weeks or months, often from mild trauma, and primarily affects older adults and those on blood-thinning medications.
Regardless of classification, all subdural hemorrhages require medical evaluation to prevent complications.
Symptoms of Chronic Subdural Hemorrhage
Because chronic subdural hemorrhages develop gradually, symptoms may not appear immediately. Common signs include:
- Persistent headaches
- Dizziness or balance issues
- Memory problems or confusion
- Slurred speech
- Mood changes or irritability
- Weakness or numbness in limbs
- Seizures
- Nausea and vomiting
- Changes in vision
- Difficulty swallowing (in children)
In infants, symptoms may include excessive irritability or an enlarged head circumference. If any of these symptoms appear, immediate medical attention is essential.
Causes and Risk Factors for Chronic Subdural Hemorrhage
The primary cause of chronic subdural hemorrhage is minor head trauma, but certain factors increase the risk, including:
Older adults experience brain shrinkage, which stretches blood vessels and makes them prone to rupture.
Medications like aspirin, warfarin, and anti-inflammatory drugs increase bleeding risks.
Chronic alcohol use weakens blood vessels and impairs clotting ability.
Especially in elderly individuals or those with mobility issues.
Conditions like hemophilia or liver disease can contribute to hemorrhages.
Identifying and addressing these risk factors can help reduce the likelihood of developing chronic subdural hemorrhage.
Diagnosing Chronic Subdural Hemorrhage
To confirm a diagnosis, our specialists at Vascular Neurology of Southern California use advanced imaging technologies.
- CT scan (Computed Tomography): A non-invasive imaging test that provides detailed brain scans to detect bleeding or pressure buildup.
- MRI (Magnetic Resonance Imaging): Uses magnetic fields and radio waves to create high-resolution images of brain tissues, revealing subtle abnormalities.
Early diagnosis is crucial to prevent permanent neurological damage.
Treatment Options for Chronic Subdural Hemorrhage
The treatment approach depends on the hemorrhage’s severity and impact on brain function. Common treatment methods include:
For moderate to large hemorrhages, a small hole (burr hole) is drilled into the skull, allowing excess blood to drain and relieve pressure on the brain. In severe cases, a craniotomy may be necessary to remove larger clots.
This minimally invasive procedure reduces the risk of re-bleeding. Using X-ray guidance, a catheter is inserted into the blood vessels to reach the middle meningeal artery, which supplies blood to the hemorrhage. A medical-grade adhesive or platinum micro-coils are used to block blood flow, preventing further bleeding.
In some cases, corticosteroids may help reduce swelling, and anti-seizure medications can prevent neurological complications. Patients on blood thinners may require medication adjustments to prevent further bleeding.
Preventing Chronic Subdural Hemorrhage
For individuals at risk, taking preventive measures is essential. Steps to minimize the risk include:
- Wearing protective gear—Helmets, seatbelts, and hard hats can help prevent head injuries.
- Fall prevention—Older adults should use handrails, non-slip mats, and supportive footwear to reduce fall risks.
- Limiting alcohol consumption—Alcohol can impair balance and increase the risk of falls.
- Managing blood-thinning medications—Patients on anticoagulants should have regular check-ups with their doctor.
By addressing these factors, patients can reduce the likelihood of developing chronic subdural hemorrhages.
Recovery and Prognosis
Recovery varies based on factors like hemorrhage size, treatment timing, and the patient’s overall health. Some individuals recover fully within weeks while others may require months of rehabilitation.
Patients recovering from chronic subdural hemorrhage should:
- Avoid strenuous activities (e.g., sports, heavy lifting, or driving) until cleared by a doctor.
- Undergo physical therapy to restore mobility and strength if weakness develops.
- Engage in cognitive rehabilitation for memory, focus, or speech difficulties.
Long-term complications may include mood changes, concentration difficulties, or recurrent headaches, but early intervention improves outcomes.
Why Choose VNSC for Chronic Subdural Hemorrhage Treatment?
At Vascular Neurology of Southern California, Dr. M. Asif Taqi and his experienced team provide cutting-edge treatment for chronic subdural hemorrhages. With a patient-focused approach and expertise in neurointerventional procedures, Dr. Taqi ensures personalized care and optimal results.
Schedule Your Consultation with VNSC Today
If you or a loved one is experiencing symptoms of chronic subdural hemorrhage, don’t delay seeking medical attention. Dr. Taqi and his team at Vascular Neurology of Southern California are here to help.
Call (805) 242-4884 or contact us online to schedule your consultation. We proudly serve Thousand Oaks, Westlake, Woodland Hills, Ventura, Camarillo, Calabasas, and more areas in Southern California as well as Las Vegas.