Bilateral acute on chronic subdural hematomas

Case contributed by Dr Ian Bickle

Presentation

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

Patient Data

Age: 70 years
Gender: Male

Bilateral acute on chronic subdural hematomas illustrating a 'layered' effect to the variable ages of blood.

The equal sized bilateral subdurals has resulted in no real midline shift or mass effect.

 

Case Discussion

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

May cross sutures but not dural attachments.

Bilateral subdural hematomas are less common than unilateral.

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

Half of subdural hematomas 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
Published: 5th Sep 2012
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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