Presentation
Fell out of bed approximately one hour earlier. No loss of consciousness. Alert, asymptomatic, no focal neurological deficit.
Patient Data
Age: 85 years
Gender: Male
From the case:
Bilateral subdural hygroma
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- Bilateral widened subdural space with low density collections (best appreciated near the vertex) indicative of chronic hygromas.
- Note that despite being noncontrast study the cortical veins can be discerned traversing medially to the collections (best seen in the axial and coronal plane, also check annotated key image), thus we can conclude that the cortical vein sign is negative.
- Signs of age related cortical atrophy and chronic small vessel ischaemia.
- No sign of acute trauma, or bony injury (bone kernel recons not shown).
From the case:
Bilateral subdural hygroma
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Cortical veins (highlighted) traversing medially to the collection, confirming its subdural location.
Case Discussion
Typical appearance of incidentally encountered chronic subdural hygroma.
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