Neurology

A patient had a fall and CT scan of brain reveals that there is a 3cms clot which is 2 weeks old. The patient has been going to work during the 2 weeks, and does his personal work with no assistance. He checked into hospital when he noticed right feet slightly limp, but he was walking during the 2 weeks also. My question is: can this patient with Extradural Haematoma 3cms clot be treated with medicines and physical therapy or physiotherapy.  Is there alternative therapy available.

[Dr. Kokil Mathur]

Hi!
In clots around the dural space which develop slowly, symptoms of compression develop slowly and progress with the level of compression. The usual treatment is to drain the clot. This is because the symptoms will subside once the pressure is removed. To remove the pressure, blood has to be drained from the space it is occupying. Thereafter the patient may need physiotherapy and medications. Please discuss the best treatment option with your neurologist. Take care!

[Geetha55]

Thank you Doctor for your valuable comments. After the CT scan was taken after the fall and clots observed, the neurologist has taken a wait and watch way of dealing with this issue. Now its a little more than a month; the patient's twisted leg has now come back to normal, he is able to walk properly like before, but he feels that he does not have the original power and strength. Should he go in for physiotherapy to strengthen his legs? Should he go for another medical opinion on completely resolving this issue? Does it mean that the clots have resolved by itself now that he is able to walk properly? Medically, do clots resolve on their own without medical intervention? Please advice.
Thank you