Presentation
Fall with head injury and confusion. Warfarinised for metallic heart valve.
Patient Data
Age: 90 years
Gender: Male
From the case:
Acute subdural hemorrhage - on warfarin
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Non-contrast axial CT head: right sided subdural mixed density collection with midline shift, subfalcine herniation and contralateral ventricular dilatation.
Case Discussion
Acute subdural hemorrhage 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.