Acute subdural haemorrhage - on warfarin
Fall with head injury and confusion. Warfarinised for metallic heart valve.
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Non-contrast axial CT head: right sided subdural mixed density collection with midline shift, subfalcine herniation and contralateral ventricular dilatation.
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Acute subdural haemorrhage with significant mass effect.
Initially this patient's Glasgow Coma Score (GCS) was 13 (E4V4M6) but shortly after going into the scanner GCS dropped to 7 (E1V2M4). This case was managed conservatively.