Chronic subdural hematoma

Case contributed by Bita Abbasi
Diagnosis certain

Presentation

Altered mental status

Patient Data

Age: 90 years
Gender: Male
  • Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
mri

Chronic subdural hematoma is seen in the right side with a hematocrit level.

Multiple T2W/FLAIR high signal intensity lesions in the periventricular white matter represent chronic small vessel changes.

Case Discussion

Note how concentrated methemoglobin causes decreased signal in T2W and increased signal in T1W and FLAIR images. Also note the diffusion restriction effect of concentrated methemoglobin in the dependent portion of the subdural hematoma.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.