Acute subdural hemorrhage

Case contributed by Dr Andrew Ho


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

Patient Data

Age: 69
Gender: Male

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.

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Case information

rID: 23274
Published: 1st Jun 2013
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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