Presentation
Patient unsteady on feet. Fall 4 weeks ago - hit head. Since has been more confused and unsteady. The patient has had 2 previous subdural hematomas ? intracranial bleed
Patient Data
Age: 85 years
Gender: Female
From the case:
Bilateral isodense subdural hematomas
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Bilateral burr holes.
Bilateral isodense subdural hematomas. On the left a small amount of higher attenuation material layers in the subdural.
Sulcal effacement, worse on the left, best appreciated at the vertex. No midline shift.
Case Discussion
An isodense subdural hematoma can be hard enough to appreciate. Bilateral subdurals can be even harder, especially if the brain is sufficiently involuted that this negates any mass effect, so no midline shift is evident.
Clearly, this is a repeat issue in this patient with three burr holes already having been performed.
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