Value

A subdural hematoma is a collection of blood that forms between the dura mater and the brain, the main cause of which is trauma. The main source of bleeding is damaged veins in the brain. A chronic hematoma is one that occurs more than 14 days after a traumatic brain injury.

The main feature that distinguishes an acute subdural hematoma from a chronic one is the presence of a connective tissue capsule that forms 2 weeks after TBI and separates the hematoma from the brain.

In most cases, patients do not seek medical help and can walk with this problem for several months or even years. Sometimes even minor blows to the skull can lead to these problems, and only at the height of clinical symptoms do patients seek medical help.

Symptoms

headache (which is most often of a “bursting” nature),
dizziness, nausea, vomiting,
speech impairment (the patient cannot say a word and/or does not understand the meaning of what is said),
weakness in the limbs on the opposite side of the stroke
epileptic seizures, mental disorders, memory impairment
meningeal syndrome.

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Diagnostic methods

ECHO-ES – in the absence of CT, MRI. The leading diagnostic methods are CT and MRI of the brain. Computed tomography is mainly performed in the acute period of injury because it better visualizes the accumulation of blood between the dural membrane and the brain.

In chronic subdural hematoma, MRI is preferred for diagnosis.

Indications for surgical treatment

hematoma volume (according to neuroimaging data) over 50 ml in volume.
dislocation of midbrain structures more than 5 mm
deformation of the basal nuclei,
hematoma volume (according to neuroimaging data) over 50 ml in volume.
gross compression of the lateral ventricles with the development of hydrocephalus, regardless of size and localization.

Surgical treatment of subdural hematomas in most cases, if there are no partitions in the hematoma structure, is carried out through 2 small holes in the bones of the skull, through which tubes for the inflow and outflow system are inserted, through which the remains of the hematoma are washed out during the day, and the drains are removed 2-3 days after the operation.

If you have any of the signs or symptoms mentioned in the article, we recommend that you make an appointment with a specialist.

Make an appointment with a doctor

Стаття написана: 22.01.2026

Стаття перевірена медичним спеціалістом: 23.01.2026

Автор статті: Леонтьєв Олексій

Усі напрямки категорії: Removal of chronic subdural hematomas

How to get treatment Removal of chronic subdural hematomas to a neurosurgeon in Ternopil?

If you need treatment from a neurosurgeon in Ternopil, you should follow these steps:

Contact your family doctor or specialist who can recommend a neurosurgeon in Ternopil.
Contact the nearest medical facility to receive a referral for a consultation with a neurosurgeon in Ternopil.
Make an appointment for a consultation with your chosen neurosurgeon in Ternopil. You can do this through the contact center of the medical institution, using the online appointment form on the hospital website, or directly contact the reception.
Prepare all necessary medical documentation, including test results, X-rays, and other tests. This will help the doctor better understand your condition and prescribe the necessary treatment.
During your consultation, your neurosurgeon will review your medical records, perform additional tests, and prescribe treatment based on your diagnosis. They will also give you advice on how to care for yourself during your treatment.

Where can you go Removal of chronic subdural hematomas in Ternopil?

In Ternopil, there are several options where you can get help:

1. Ternopil Regional Clinical Hospital:

It has a neurosurgery department where qualified specialists can diagnose and treat developmental abnormalities of the nervous system.
The head of the neurosurgery department is Oleksiy Oleksandrovych Leontiev, an experienced neurosurgeon who has successfully performed many operations to treat developmental anomalies.
Contact information:
- Address: Ternopil, 14 Trolleybusna St.
- Phone: (073) 486 18 85 .

2. Private medical institutions:

There are also several private medical institutions in Ternopil that offer services for the diagnosis and treatment of developmental anomalies.
It is recommended to read reviews about these institutions and compare their prices before making a final choice.

Importantly:

Before contacting any medical facility, it is recommended to consult with your family doctor.
You must have all necessary medical documents with you, such as an outpatient card, test results, and examinations.

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The article was checked by a neurosurgeon of the highest category: LEONTIEV OLEKSII.

It is of general informational nature and does not replace specialist advice. For recommendations on diagnosis and treatment, a doctor’s consultation is required.

Address

14 Trolleybusna St., Ternopil

Phone

+38 067 301 33 03

Reception hours

Mon-Fri: 8:30 – 17:30

The importance of examination by a specialist

A neurosurgical examination is a significant procedure that helps identify various diseases of the brain and nervous system. Such procedures are a necessary step in determining the diagnosis and planning treatment.

A professional neurosurgeon is able to perform various types of examinations, such as MRI, CT, PET, and others, which allow obtaining detailed information about the structure and function of the brain. The examination may also include a neurological examination, cognitive function testing, and other methods of assessing the patient’s condition.

The importance of examination by a neurosurgeon is that it allows for timely detection of the disease and initiation of effective treatment. This determines not only the success of the patient’s recovery, but also the quality of his life in the future. Therefore, it is recommended to consult a qualified specialist and undergo all the necessary examinations.

Professional equipment for neurosurgery

Neurosurgery is a highly complex branch of medicine concerned with the surgical treatment of diseases and injuries of the brain and spinal cord. These procedures require precision down to the millimeter, as any imprecise movement can lead to serious consequences, such as neurological impairment and even death of the patient.

Therefore, the neurosurgical drape must be very precise and tailored to the specific needs of this procedure, as it provides protection against contamination, infection and excessive pressure on the head during surgery. A professional drape system helps the neurosurgeon work more efficiently and provides maximum protection for both the patient and the surgical team working on the operation.

Popular destinations:

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Decompressive-stabilizing intervention

Advantages

When you consult a neurosurgeon, you can expect:

Skill in performing complex surgical operations on the brain and spinal cord, as well as on the nerves.
Caring for our patients, ensuring they have the most comfortable course of treatment.
Knowledge of the latest technologies and treatment methods, which are constantly being improved.
Neurosurgery gives a chance for a new life!