Post-Surgery Complications: Hematoma Absorption After Craniopharyngioma Surgery

Post-operative hemorrhage from craniopharyngioma leading to hematoma formation?

Hello Doctor, my mother (55 years old) underwent surgery for a craniopharyngioma on May 23.
After the surgery, she was somewhat conscious and could move her limbs.
However, a few hours later, the doctor informed us that there was very minimal bleeding from a small blood vessel in the brain, resulting in a 15cc hematoma that is compressing the nerves on the left side.
As a result, my mother is currently unable to move the left side of her body.
The doctor mentioned that the 15cc hematoma can only be absorbed by the body over time.
I would like to ask how long it typically takes for a 15cc hematoma to be absorbed? Once it is absorbed, will she be able to regain normal movement on the left side? Additionally, if my mother remains clear-headed and her condition has not worsened, does that indicate that she is not in life-threatening danger and that there is no ongoing bleeding from the intracranial vessels? Thank you.

huahua, 20~29 year old female. Ask Date: 2016/05/26

Dr. Zhang Junwei reply Neurosurgery

Without clinical examinations and reports, it is not possible to answer such complex questions online!

Reply Date: 2016/05/26

More Info

After craniopharyngioma surgery, the presence of a hematoma can be a significant concern, especially when it exerts pressure on critical neural structures. In your mother’s case, the 15cc hematoma is causing motor impairment on the left side of her body, which is understandably distressing for both her and your family.

Understanding Hematoma Absorption
Hematomas can vary in their absorption rates depending on several factors, including the size of the hematoma, the patient's overall health, and the body's ability to reabsorb blood. Generally, small hematomas like the one your mother has (15cc) can take anywhere from a few days to several weeks to be absorbed by the body. The process involves the breakdown of the blood components and the reabsorption of the fluid by surrounding tissues.

Potential for Recovery
As for the recovery of motor function on the left side, it is essential to understand that the absorption of the hematoma does not guarantee a return to normal function. The extent of recovery depends on the degree of damage to the neural tissues caused by the pressure from the hematoma. If the hematoma is successfully absorbed and there is no permanent damage to the motor pathways, there is a possibility that your mother may regain some or all of her motor functions. However, this can be a gradual process, and rehabilitation may be necessary to help her regain strength and coordination.

Monitoring for Complications
Regarding your concerns about her current condition, if she remains conscious and her overall status has not deteriorated, it is a positive sign. Continuous monitoring is crucial, as complications can arise from hematomas, including rebleeding or increased intracranial pressure. The fact that the medical team has indicated there is no ongoing bleeding is reassuring, but it is essential to keep a close watch on her neurological status.

Life-Threatening Risks
While her current state may not indicate immediate life-threatening risks, it is vital to remain vigilant. Any sudden changes in her consciousness, increased headache, vomiting, or neurological deficits should be reported to her healthcare team immediately. These could be signs of complications that require urgent intervention.

Conclusion
In summary, the absorption of a 15cc hematoma can take several days to weeks, and while there is potential for recovery of motor function, it is not guaranteed. Continuous monitoring of her neurological status is essential, and any changes should prompt immediate medical attention. Engaging in rehabilitation therapy may also be beneficial once her condition stabilizes. It is crucial to maintain open communication with her healthcare providers to understand her progress and any necessary interventions moving forward.

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