Acute subdural haemorrhage

Case contributed by Dr Andrew Ho

Presentation

Struck head two days ago with increasing headache and visual disturbance.

Patient Data

Age: 69
Gender: Male
Modality: CT

Unenhanced CT head reveals a crescentic hyperdense extraaxial collection spread diffusely over the left hemisphere extending down to the left temporal lobe in keeping with a moderate size acute left subdural hemorrhage.  There is associated effacement of sulci and mass effect of the left lateral ventricle resulting in minimal (2 mm) rightward midline shift. 

The CSF containing spaces are normal without any evidence of hydrocephalus.  Subtle non displaced cranial bone fracture (yellow arrow) overlying the subdural hemorrhage is demonstrated on the bone windows.

Case Discussion

This case shows a classical subdural hematoma.

PlayAdd to Share

Case Information

rID: 23274
Case created: 1st Jun 2013
Last edited: 18th Sep 2015
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.