Acute subdural haematoma and cerebral infarction

Case contributed by Dr Ahmed Abd Rabou

Presentation

Disturbed conscious level following head trauma two days ago

Patient Data

Age: 80
Gender: Male

Large left frontoparietal subdural collection that displays iso to low signal in T1, low signal in T2 and more hypointense in T2*. Associated left parietal acute infarction exhibiting restricted diffusion in DWI and hyperintense signal in T2 and FLAIR images. MRA reveals spasm of the left middle cerebral artery.

Old left cerebellar infarction, deep white matter ischemia and inovlutional changes are also noted.

Diagnosis: Acute left frontoparietal subdural hematoma and Left parietal acute infarction owing to spasm of MCA.

Case Discussion

The patient develops acute subdural hematoma following traumatic head injury which also induces arterial spasm leading to acute infarction

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Case Information

rID: 22663
Case created: 14th Apr 2013
Last edited: 4th Oct 2015
Inclusion in quiz mode: Included

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