burr hole surgery for subdural hematoma

burr hole surgery for subdural hematoma

Author
Discussion

Blackpuddin

Original Poster:

17,423 posts

212 months

Tuesday 24th January 2023
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Anybody had this? Not sure yet if I'll need it, hopefully a second scan will clarify that one way or the other, just wondering what the recovery time might be if I do need it.
Thanks for any thoughts.

Blackpuddin

Original Poster:

17,423 posts

212 months

Tuesday 24th January 2023
quotequote all
Bumpity
Sorry to ask again so soon but the missis is dragging me over to A&E this aft to try and get another scan party

ucb

1,040 posts

219 months

Tuesday 24th January 2023
quotequote all
I think you need to have a discussion with a neurosurgeon regarding whether you need a burr hole or not. You haven't stated whether you have any symptoms, how the subdural was found or occurred so it's a bit difficult to comment.
We are using middle meningeal artery occlusion now tomprevwnt recurrence which , if you're young and otherwise well, is a good idea.
Recovery from a burr hole is pretty quick. You'll probably be home the next day or after a couple of days. It is literally just squirting warm saline into the head to rinse out blood.

Mick Dastardly

183 posts

31 months

Tuesday 24th January 2023
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Dr. Michael Hfuhruhurr : Little girl.
Little Girl : Yes sir.
Dr. Michael Hfuhruhurr : I want you to do something very important, alright?
Little Girl : OK.
Dr. Michael Hfuhruhurr : I want you to run home and I want you to call the E.R. of North Bank General Hospital, 932-1000. Tell them to set up OR6 immediately and contact anesthesiologist Isadore Turek 472-2112 beep 12. Have him send an ambulance with a paramedic crew, light IV, D5NW-KVO. You got it?
Little Girl : E.R. North Bank General Hospital 932-1000. Setup OR6. Contact anesthesiologist Isadore Turek 472-2112 beep 12. Ambulance with paramedics and light IV, D5NW and KVO.
Dr. Michael Hfuhruhurr : That's good.
Little Girl : Sounds like a subdural hematoma to me.
Dr. Michael Hfuhruhurr : Oh it does, does it? Well, it's not your job to diagnose!
Little Girl : But I thought...
Dr. Michael Hfuhruhurr : You thought, you thought... just go! Three years of nursery school and you think you know it all. Well you're still wet behind the ears. It's not subdural hematoma, it's epidural! Ha! God damn that makes me mad!

Blackpuddin

Original Poster:

17,423 posts

212 months

Tuesday 24th January 2023
quotequote all
ucb said:
I think you need to have a discussion with a neurosurgeon regarding whether you need a burr hole or not. You haven't stated whether you have any symptoms, how the subdural was found or occurred so it's a bit difficult to comment.
We are using middle meningeal artery occlusion now tomprevwnt recurrence which , if you're young and otherwise well, is a good idea.
Recovery from a burr hole is pretty quick. You'll probably be home the next day or after a couple of days. It is literally just squirting warm saline into the head to rinse out blood.
Thanks for this and apologies for the lack of detail. 16.5mm hematoma with midline shift caused we think by a combination of a motorcycle accident 4 months ago and a separate bump to the head a couple of months after that. CT scan today has shown the clot has shrunk by over 5mm in the last two weeks so they're happy to let that process continue and hopefully confirm that all is well with another scan in two months.
Thanks again for your reply.

Blackpuddin

Original Poster:

17,423 posts

212 months

Tuesday 24th January 2023
quotequote all
Mick Dastardly said:
Dr. Michael Hfuhruhurr : Little girl.
Little Girl : Yes sir.
Dr. Michael Hfuhruhurr : I want you to do something very important, alright?
Little Girl : OK.
Dr. Michael Hfuhruhurr : I want you to run home and I want you to call the E.R. of North Bank General Hospital, 932-1000. Tell them to set up OR6 immediately and contact anesthesiologist Isadore Turek 472-2112 beep 12. Have him send an ambulance with a paramedic crew, light IV, D5NW-KVO. You got it?
Little Girl : E.R. North Bank General Hospital 932-1000. Setup OR6. Contact anesthesiologist Isadore Turek 472-2112 beep 12. Ambulance with paramedics and light IV, D5NW and KVO.
Dr. Michael Hfuhruhurr : That's good.
Little Girl : Sounds like a subdural hematoma to me.
Dr. Michael Hfuhruhurr : Oh it does, does it? Well, it's not your job to diagnose!
Little Girl : But I thought...
Dr. Michael Hfuhruhurr : You thought, you thought... just go! Three years of nursery school and you think you know it all. Well you're still wet behind the ears. It's not subdural hematoma, it's epidural! Ha! God damn that makes me mad!
Great film that!

ucb

1,040 posts

219 months

Tuesday 24th January 2023
quotequote all
Blackpuddin said:
Thanks for this and apologies for the lack of detail. 16.5mm hematoma with midline shift caused we think by a combination of a motorcycle accident 4 months ago and a separate bump to the head a couple of months after that. CT scan today has shown the clot has shrunk by over 5mm in the last two weeks so they're happy to let that process continue and hopefully confirm that all is well with another scan in two months.
Thanks again for your reply.
Good news for you. Good luck

ruggedscotty

5,798 posts

216 months

Tuesday 24th January 2023
quotequote all
Blackpuddin said:
ucb said:
I think you need to have a discussion with a neurosurgeon regarding whether you need a burr hole or not. You haven't stated whether you have any symptoms, how the subdural was found or occurred so it's a bit difficult to comment.
We are using middle meningeal artery occlusion now tomprevwnt recurrence which , if you're young and otherwise well, is a good idea.
Recovery from a burr hole is pretty quick. You'll probably be home the next day or after a couple of days. It is literally just squirting warm saline into the head to rinse out blood.
Thanks for this and apologies for the lack of detail. 16.5mm hematoma with midline shift caused we think by a combination of a motorcycle accident 4 months ago and a separate bump to the head a couple of months after that. CT scan today has shown the clot has shrunk by over 5mm in the last two weeks so they're happy to let that process continue and hopefully confirm that all is well with another scan in two months.
Thanks again for your reply.
My experiances...

Was in a car accident while back... working overseas... woke up in the german field hospital in sarajevo

Subdural haemotma -

Options to get the op there and wait till able to fly or go overland back to the UK. Or risk a flight back and operation back in the UK.

I picked get back to the UK, Taken back on a herculese. to Southampton and then operated on in the wessex nurological. two burrs.

Was told options was burr or flap. depending on what the surgeon thought. I ended up getting the burr and had my drivers licence suspended fro six months, the flap surgery was a year. got to go 6 months without a fit before being allowed to drive again.

https://www.headway.org.uk/about-brain-injury/indi...

Blackpuddin

Original Poster:

17,423 posts

212 months

Wednesday 25th January 2023
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After reading rhat I feel very fortunate. Hope you are sorted now.

ruggedscotty

5,798 posts

216 months

Thursday 26th January 2023
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Blackpuddin said:
After reading rhat I feel very fortunate. Hope you are sorted now.
Yup happened back in 98 andf took a wee while to get over it. changed my outlook on life. changes you. On a second life now. lol