Bilateral subdural hematomas

Case contributed by Dr Bahman Rasuli

Presentation

Disorientation and inability to walk independently. The patient had unwitnessed fall in the last 2 weeks.

Patient Data

Age: 70 years
Gender: Male
MRI

Large, bilateral frontal and parietal convexity late subacute phase subdural hematomas with a few loculations secondary to membrane formation are seen. 

The largest axial dimensions of the subdural hematomas are 3.2mm and 2.6 mm in the right and left sides respectively.

Balancing mass effect on the underlying cerebral hemispheres is not seen with left-sided crossed the coronal suture measuring about 6 mm.

The pressure effect on the lateral ventricles is seen. There is no transtentorial or foramen magnum herniation identified. 

Case Discussion

There is a bilateral late subacute phase subdural hematoma. There is a midline shift but no transtentorial or foramen magnum herniation identified.

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Case information

rID: 66210
Published: 13th Feb 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Jame Jam Imaging Center

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