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Hematoma in Head Symptoms

What are the symptoms of a head injury?

The symptoms of head injury can vary from almost none to loss of consciousness and coma. As well, the symptoms may not necessarily occur immediately at the time of injury. While a brain injury occurs at the time of trauma, it may take time for enough swelling or bleeding to occur to cause symptoms that are recognizable.

Initial symptoms may include a change in mental status, meaning an alteration in the wakefulness of the patient. There may be loss of consciousness, lethargy, and confusion.

What is a hematoma?

A hematoma is an abnormal collection of blood outside of a blood vessel. It occurs because the wall of a blood vessel wall, artery, vein, or capillary, has been damaged and blood has leaked into tissues where it does not belong. The hematoma may be tiny, with just a dot of blood, or it can be large and cause significant swelling.

The blood vessels in the body are under constant repair. Minor injuries occur routinely and the body is usually able to repair the damaged vessel wall by activating the blood clotting cascade and forming fibrin patches. Sometimes the repair fails if the damage is extensive and the large defect allows for continued bleeding. If there is great pressure within the blood vessel, for example, a major artery, the blood will continue to leak through the damaged wall and the hematoma will expand.

Blood that escapes from within a blood vessel is very irritating to the surrounding tissue and may cause symptoms of inflammation including pain, swelling, and redness. Symptoms of a hematoma depend upon their location, their size, and whether they cause associated swelling or edema.

Hematomas may occur anywhere in the body. Regardless of how a hematoma is described or where it is located, it remains a collection of clotted blood outside of a blood vessel. Continue Reading

Reviewed on 9/17/2015
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