What is Chronic Subdural Hematoma?
Who Is at Risk for CSDH?
Common Symptoms of CSDH
The tricky part about chronic subdural hematoma is that symptoms often appear gradually. Some of the key warning signs include:
✅ Constant or worsening headache
✅ Forgetfulness, confusion, or memory loss
✅ Unsteady walking or balance issues
✅ Weakness or numbness in arms or legs
✅ Personality changes
✅ Daytime sleepiness
✅ In severe cases: seizures or loss of consciousness
Dr. Ganesh Veerabhadraiah
Consultant – Neurosurgeon, Neurointerventional Surgery, Spine Surgeon (Neuro)
23+ Years Experience Overall (17+ years as Neuro Specialist)
Available for Consultation: Jayanagar 9th Block & Kauvery Hospital, Electronic City
Real-Life Example from My Practice
A 72-year-old gentleman visited my clinic with mild memory loss and left-hand weakness.
His family thought it was aging or early dementia. On detailed history, we found he had a fall in the bathroom 3 weeks prior.
Brain imaging through a CT scan showed a significant long-standing subdural blood collection.
We performed a burr hole surgery, drained the blood, and he recovered within a few days. His memory and walking improved dramatically.
Diagnosis: CT Scan Is Key
Treatment: Simple and Safe
Treatment options include:
1.Observation – If the hematoma is small and not causing pressure, we monitor it with repeat scans.
Most patients are discharged within 2–3 days after surgery and return to normal activities within weeks.
Post-Surgery Recovery
Family members are advised to monitor for recurrent symptoms and to follow fall prevention practices at home.
Prevention Tips for Chronic Subdural Hematoma
You can reduce the risk of CSDH by:
Final Takeaway
Chronic Subdural Hematoma may be silent, but it is very treatable if diagnosed early. Don’t ignore unusual symptoms like headache, confusion, or imbalance — especially in older adults after a fall. A basic CT scan can be life-saving by detecting critical issues early.
Seek prompt evaluation from a neurosurgeon if you or someone close experiences these symptoms.
FAQs:
1. What are the early warning signs of chronic subdural hematoma?
Common symptoms include headache, confusion, memory loss, and balance issues. These signs may appear weeks after a minor head injury.
2. How does a chronic subdural hematoma develop?
It occurs when blood slowly collects between the brain and dura after mild trauma, creating pressure over time.
3. Can a CT scan detect chronic subdural hematoma?
Yes, a non-contrast CT scan is quick, accurate, and the standard method for detecting CSDH.
4. What is the treatment for chronic subdural hematoma?
Most cases are treated with burr hole surgery to drain the blood and relieve pressure on the brain.
5. How can chronic subdural hematoma be prevented?
Prevent falls, manage blood thinners, and seek medical help after any head injury, even if mild.