Chronic subdural haematoma

Case contributed by Dr Omar Giyab

Patient Data

Gender: Male

The native CT images show a crecsent shaped, isodense strap of hematoma along the brain parenchyma bilaterally.
Pneumocephalus is seen on the lower set of images taken after the decompressive craniotomy has been performed.

Case Discussion

The patient was suffering from a headache, that started a few weeks ago, without any other neurological symptoms.

A subacute subdural hematoma is between 3 to 7 days old and is usually isodense to brain parenchyma. A chronic subdural haemtoma is more than one week old, and is usually hypodense to brain parenchyma.

Cerenbral atrophy can increase the length of bridging veins, increasing the risk for the development of SDH, even after a minor trauma.

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Case information

rID: 22947
Case created: 6th May 2013
Last edited: 10th Aug 2016
Inclusion in quiz mode: Included

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