Acute subdural haematoma

Case contributed by A.Prof Frank Gaillard

Presentation

Pedestrian hit by car. Decreased consious state.

Patient Data

Age: 25 years
Gender: Male

CT brain

Modality: CT

An 11 mm left frontal subdural haematoma effaces the cortical sulci and results in 2 mm of subfalcine herniation. A smaller subdural haematoma in the left anterior temporal fossa measures 7 mm.
Right temporal lobe haemorrhagic contusion is associated with sulcal subarachnoid blood and a thin (2 mm) subdural haematoma.

No intraventricular blood. No transtentorial or tonsillar herniation. Grey white matter differentiation is preserved, with no evidence of acute ischaemia.

Case Discussion

In young patients acute subdural haematomas are usually seen in the setting of significant head trauma, usually with associated haemorrhagic contusions.

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Case Information

rID: 23111
Case created: 22nd May 2013
Last edited: 16th Apr 2017
Inclusion in quiz mode: Included

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