Bilateral acute on chronic subdural hematomas

Case contributed by Ian Bickle , 5 Sep 2012
Diagnosis certain
Changed by Ian Bickle, 24 Mar 2018

Updates to Case Attributes

Age changed from 70 to 70 years.
Body was added:

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.

  • +<p>Haematoma collecting, usually following trauma, between the meningeal and arachnoid layers of the dura.</p><p>May cross sutures but not dural attachments.</p><p>Bilateral subdural haematomas are less common than unilateral.</p><p>Subdurals may contain: hyperacute, acute, subacute and chronic haematoma</p><p>Half of subdural haematomas are due to rupture of a bridging vein and the other half due to torn cortical arteries.</p>

Updates to Study Attributes

Findings was changed:

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

May cross sutures but not dural attachments.

Bilateral acute on chronic subdural haematomas are less common than unilateralillustrating a 'layered' effect to the variable ages of blood.

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

 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.

Images Changes:

Image CT (non-contrast) ( update )

Description was removed:
Bilateral acute on chronic subdural haematomas illustrating a 'layered' effect to the variable ages of blood.

Image CT (non-contrast) ( update )

Description was removed:
The equal sized bilateral subdurals has resulted in no real midline shift or mass effect

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