What is a Cerebral Contusion? - Oren Zarif - Contusion Cerebral
A cerebral contusion is a type of traumatic brain injury. It's an injury to the brain tissue that happens when the skull is broken, or when the brain grazes against another bony surface. There are two common types of cerebral contusions: gliding and para-sagittal. A coup injury involves penetration of the skull, causing a cortical contusion. Both types of injury show evidence of fracture.
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A cerebral contusion is caused by direct impact to the brain's inner lining, and can result in focal neurologic deficits. A subarachnoid hemorrhage can also occur. This type of bleeding occurs in the pia mater, and is usually extensive. An epidural hemorrhage, a vascular injury to the middle meningeal or dural venous sinus, may also result.
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Symptoms may include concussion-like symptoms. The most important thing to do is seek immediate medical attention if you have suffered a cerebral contusion. While it may be tempting to wait and let the injury go away, if the wound is large enough, you can risk permanent damage if left untreated. In many cases, the patient's condition will improve over time if prompt treatment is sought. However, if the contusion has a severe impact, invasive surgery or even prescription medication may be required.
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The symptoms of a cerebral contusion include headache, memory loss, and balance problems. These effects may last for days, weeks, or months. Sometimes, patients experience these symptoms in only a few days or weeks. Sometimes, the brain damage can worsen over time. People who have suffered from a cerebral contusion are especially vulnerable to additional brain injuries. That's why it's important to consult a brain injury attorney as soon as possible.
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Patients suffering from moderate to severe traumatic brain injuries often undergo surgery in the operating room. This is required to remove the large hematoma and contusion that compresses the brain and raises pressure inside the skull. In severe cases, patients may be observed for several days in the intensive care unit until their condition improves. A delayed hematoma may not be discovered until the patient's neurological examination or ICP worsens. A routine follow-up CT scan may also reveal a enlarged lesion. In such cases, it is safer to remove the lesion now than to wait for it to enlarge.
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A cerebral contusion is a widespread area of bleeding on the brain's surface. These contusions usually form along the frontal and temporal lobes and are most commonly caused by a blow to the head. Unlike a concussion, a cerebral contusion can lead to a decline in mental function. In extreme cases, the brain can herniate, which may cause further complications. Fortunately, most brain contusions can be removed safely with surgery.
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Contusions may range in severity from minor to life-threatening. Because blood must clot to stop the bleeding, they are a serious medical emergency. Because blood must clot to stop the bleeding, they increase cardiovascular risks. Some concussions may have temporary or lasting effects, which include changes in cognition and reduced intelligence. The location of the contusion and the amount of internal bleeding will determine the severity. The best course of treatment will depend on the type of contusion and the severity.
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Treatment for mild TBI involves using over-the-counter pain relievers. If symptoms do not improve within 24 hours, it's best to see a medical professional for further evaluation. If the TBI is severe, patients may need to go to the hospital for intensive care. This unit will monitor patients and manage their blood pressure, control swelling, and provide a recovery environment. While a CT scan isn't required for a moderate-to-severe TBI, it will allow a physician to assess the brain's oxygen supply.
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The treatment for a cerebral contusion is similar to that for a traumatic brain injury. However, the difference between the ICP and cerebral perfusion pressure is often critical. If the ICP is too low, the patient may have a seizure. The treatment goal is to lower intracranial pressure to below 20 mm Hg. In a patient with increased CPP, treatment consists of sedation, diures, and hypertonic saline.
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