Symptoms of Subdural Hematoma: What to Watch For After Head Injury

Hemorrhage

I would like to ask what symptoms may be associated with a subdural hematoma.
I have been experiencing a strange dizziness for the past week that persists, but I do not feel nauseous or unsteady.
It seems like I cannot concentrate, and I feel like I am being awakened from sleep.
It is very uncomfortable.
I hit my head last month, and I have frequently had head injuries in the past.
Could this be related? I told my family, but they don't believe me and just say that I am under too much stress.
Doctor, please help me.
Thank you for your detailed response.

Ping, 20~29 year old female. Ask Date: 2001/02/07

Dr. Ye Boshou reply Neurology

Subdural hematoma can present with headache, vomiting, and localized neurological deficits, and the symptoms should be quite pronounced.
Your description does not resemble that of a cerebral hemorrhage.
Dr.
Yeh Po-Shou, Neurology Department, Hsinchu Hospital.

Reply Date: 2001/02/07

More Info

Subdural hematoma, or subdural hemorrhage, is a serious condition that can occur after a head injury. It involves the accumulation of blood between the brain and its outermost covering, the dura mater. Symptoms can vary widely depending on the size of the hematoma and the speed at which it develops. Here are some key symptoms to watch for after a head injury that may indicate the presence of a subdural hematoma:
1. Headache: A persistent or worsening headache is one of the most common symptoms. It may start as a mild discomfort but can escalate in intensity.

2. Confusion or Altered Mental Status: Difficulty concentrating, confusion, or changes in alertness can occur. You may feel disoriented or have trouble remembering things.

3. Dizziness or Balance Issues: Feeling dizzy or having trouble maintaining balance can be a sign of increased intracranial pressure or brain injury.

4. Nausea and Vomiting: While not everyone will experience this, nausea and vomiting can occur, particularly if there is increased pressure in the skull.

5. Sleep Disturbances: Difficulty sleeping or waking up frequently can be a symptom. You might feel excessively tired or lethargic during the day.

6. Changes in Vision: Blurred or double vision may occur, indicating potential pressure on the optic nerve or other areas of the brain.

7. Seizures: In some cases, individuals may experience seizures, which can be a sign of significant brain injury.

8. Weakness or Numbness: If you notice weakness or numbness in any part of your body, it could indicate that the hematoma is affecting specific areas of the brain.

9. Behavioral Changes: Increased irritability, mood swings, or changes in personality can also be signs of a subdural hematoma.

Given your symptoms of persistent dizziness, difficulty concentrating, and disrupted sleep, it is crucial to take these concerns seriously, especially considering your history of head injuries. While your family may attribute your symptoms to stress, it is essential to rule out any serious underlying conditions like a subdural hematoma.

If you have experienced a head injury and are now experiencing these symptoms, it is advisable to seek medical attention promptly. A healthcare professional may recommend imaging studies, such as a CT scan or MRI, to assess for any bleeding or other abnormalities in the brain. Early diagnosis and treatment are critical, as untreated subdural hematomas can lead to severe complications, including permanent brain damage or even death.

In summary, if you are experiencing symptoms such as persistent headache, confusion, dizziness, or sleep disturbances following a head injury, do not hesitate to consult a healthcare provider. It is better to err on the side of caution when it comes to head injuries, as timely intervention can significantly improve outcomes.

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