Bilateral acute on chronic subdural haematomas

Case contributed by Dr Ian Bickle

Presentation

Altered conscious level on medical wall. No direct history of trauma.

Patient Data

Age: 70
Gender: Male

Haematoma collecting, usually following trauma, between the meningeal and arachnoid layers of the dura.

May cross sutures but not dural attachments.

Bilateral subdural haematomas are less common than unilateral.

 Subdurals may contain: hyperacute, acute, subacute and chronic haematoma

Half of subdural haematomas are due to rupture of a bridging vein and the other half due to torn cortical arteries.

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Case information

rID: 19397
Case created: 5th Sep 2012
Last edited: 4th Mar 2016
Inclusion in quiz mode: Included

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