Acute on chronic subdural hematoma

Case contributed by Michael P Hartung
Diagnosis certain

Presentation

Headache, altered mental status.

Patient Data

Age: 70 years
Gender: Male

Large right convexity extra-axial collection with hematocrit level and wispy focal high attenuation foci within the dependent higher attenuation fluid. Mass effect with leftward midline shift. Trapping of the left lateral ventricle. 

Case Discussion

Typical findings of acute on chronic subdural hematoma with hematocrit level and superimposed higher density indicating the site of newest bleeding. Urgent neurosurgical consultation is indicated. 

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