Jeng Dini,

Ini copy paste-nya, nama lainnya subdural haematoma.

Pak Anton,

Maaf sekali gak bisa bantu banyak, semoga cepet sembuh ya. di website yg
dikasih link oleh Kang Rahman itu sudah lengkap infonya. Sending you and
your familiy the best pray....amin.

 Subdural haematoma Introduction

There are three membranes that cover the brain and spinal chord. Together
they are known as the Meninges. The space between the two outer membranes is
called the subdural space. If a vein in the subdural space is torn, blood
escapes into the subdural space and can cause a blood clot to form. This
type of blood clot that forms between the brain and the outer membrane is
called a subdural haematoma. As it gets bigger, the blood clot presses on
the brain, and can cause symptoms such as headache and confusion.

As a subdural haematoma increases in size, it begins to compress the brain,
and causes intracranial pressure. The brain swells under the pressure of the
blood clot, and is squeezed against the unyielding walls of the skull. This
restricts the flow of blood to the brain, and bruises its soft tissue. A
blood clot such as this is potentially life threatening, and needs urgent
medical treatment to prevent brain damage or death.

Subdural haematomas can develop suddenly from a head injury that causes a
large amount of blood to escape rapidly from a torn vein. This type of clot
is known as an acute subdural haemorrhage. Blood clots can also develop
slowly after a relatively minor injury, as blood gradually accumulates in
the subdural space. This type of clot is known as a chronic subdural
haemorrhage, and can remain undetected for some time.
Symptoms

Symptoms of an acute subdural haematoma may become obvious within a few
minutes of the head injury. Acute haematomas are characterised by:

   - confusion,
   - drowsiness, and
   - loss of consciousness

The symptoms of chronic subdural haematomas are:

   - headache,
   - gradually developing confusion and drowsiness, and
   - visual disturbance.

Both chronic and acute subdural haematomas may also include the following
symptoms:

   - seizures,
   - vomiting,
   - progressive muscular weakness, and
   - paralysis on one side of the body.

In both acute and chronic haematomas, symptoms are variable and likely to
change. If you develop any of the above symptoms following head injury, it
is important to seek medical advice immediately.
Causes

Subdural haematomas are caused by head injuries following a severe blow to
the skull. This type of injury might be sustained in a road traffic
accident, or when playing an aggressive contact sport, such as boxing.

Blood clots can also develop after relatively minor injuries, and even a
slight blow to the head must be closely monitored for signs of chronic
subdural haematoma. This is particularly common in elderly people who may
fall down more easily, and who are therefore susceptible to sustaining minor
head injuries. This also applies to people who drink too much, and may fall
over and hit their head as a result.
Diagnosis

Following a head injury, the medical staff treating you will consider how
the injury was sustained and the resulting symptoms. If you are admitted to
an intensive care unit, the potential development of a blood clot will be
closely monitored. Your level of consciousness will be assessed, along with
your ability to feel and move, and your reflexes.

Your eyes, ears, blood pressure, pulse, and breathing rate will also be
checked. The interior of the eye is often examined with an instrument called
an ophthalmoscope to see if pressure within the brain has increased.
Children who may have sustained a head injury should be closely monitored
for persisting vomiting and increased drowsiness

If your doctor suspects that you may have a subdural haematoma, they will
arrange for you to have a CT scan, or MRI scan of your brain, to look for
any damage or clotting. These scans produce detailed images of the brain.
Treatment

In all cases, the treatment for subdural haematomas is determined by their
size and location. Many people are able to make a swift recovery, with some
residual symptoms such as drowsiness and weakness. However, if the haematoma
has affected a large part of the brain, then the condition may prove to be
fatal.

If you are found to have a subdural haematoma, you will normally be admitted
to hospital for treatment. This often involves a surgical procedure in which
blood is drained from the head through tiny holes made in the skull.

If the subdural haematoma is small and causes few symptoms, you may simply
be monitored with regular scans. Blood clots sometimes clear without the
need for surgery. Blood thinning drugs may also be given.

Following any sort of head injury, most hospitals will want to keep you
under surveillance until the risk of a chronic haematoma forming has passed.
This is particularly important for older people, who commonly develop blood
clots over several weeks or months. If this type of clot is detected in
time, it can normally be removed by a straightforward operation with
effective results.
Prevention

Subdural haematomas can be prevented by avoiding severe blows to the head.

It is important to wear protective clothing when taking part in contact
sports such as boxing. You should also wear a helmet when cycling, and
ensure children wear protective head-gear when skateboarding or roller
blading. It is also imperative that you wear a seat belt at all times when
driving.

Older people may fall or trip more often if they have poor vision, or
difficulty in walking. Installing safety rails, removing loose rugs, and
ensuring there is good lighting can help to prevent this. Some elderly
people may also feel safer if they avoid using stairs, to reduce the risk of
tripping over.



-----Original Message-----
From: Rahman-G [mailto:[EMAIL PROTECTED]
Sent: Wednesday, March 19, 2008 11:19 AM
To: balita-anda@balita-anda.com
Subject: RE: [balita-anda] mohon informasi.

http://www.idai.or.id/pi/journal/pdfile/47-4-4.pdf

...
Subdural haemorrhage (SDH) is a common problem
in infants under 6 months of age and it has a risk to develop into
developmental delay
...

Rgds,
Rahman


-----Original Message-----
From: Antonius Rainier [mailto:[EMAIL PROTECTED]

dear all,

mohon informasinya,
anak saya, Arvel, umur 7 bulan, baru2 ini pada saat di USG dinyatakan
adanya
penumpukan cairan di otak, yang dilaporan dokternya ditulis Subdural
fluid
Collection di daerah Gyrus semi-hemispheric.
Bapak/ibu ada yang tau ini apa?berbahayakah?

regards,
Anton



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