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Subdural hygroma

Case contributed by: Dr Bita Abbasi

Presentation:

50 y/o man with head trauma

Patient Data:

Age: 50 years
Gender: Male
Race: Middle eastern
Modality: MRI

T2WI: An extra-axial collection with CSF signal intensity and mild mass effect is seen in the right hemisphere.

FLAIR: Areas of high signal intensity representing SAH are seen in the sulci of right temporal lobe.

Case Discussion:

Differential diagnoses include subdural hygroma, chronic subdural haematoma and cerebral atrophy. The presence of sulcal effacement and mass effect makes the diagnosis of brain atrophy less likely.

Due to the acute nature of trauma according to the patient description, acute traumatic subdural hygroma is more likely.

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