Bilateral subdural haematoma

Case contributed by Dr Alborz Jahangiri

Presentation

Patient with disorientation and inability to walk independently. Patient had recurrent unwitnessed falls in the last 3 weeks.

Patient Data

Age: 80
Gender: Female
Modality: CT

An extra axial heterogeneous fluid collection at the right frontal and parietal convexity which has crossed the coronal suture. The collection shows areas of mixed density indicating acute on chronic subdural bleeding. The largest axial dimension is 2.5 cm. There is 8 mm midline shift to the left. There is effacement of the right lateral ventricle. There is no transtentorial or foramen magnum herniation identified. There is a mixed density small 7 mm left acute on chronic subdural haematoma. 

Case Discussion

There is an acute on chronic right and left subdural haematoma. There is midline shift but no transtentorial or foramen magnum herniation identified.

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Case Information

rID: 46228
Case created: 28th Jun 2016
Last edited: 2nd Jul 2016
Inclusion in quiz mode: Included

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