Isodense subdural hematoma

Case contributed by Chris O'Donnell


Right hemiplegia for one week.

Patient Data

Age: 65 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.


Huge isodense subdural hematoma causing gross compression to the left hemisphere including subfalcine herniation of the cingulate gyrus. Displacement of midline structures to the right. Kinking of right foramen of Munro causing dilatation to the right lateral ventricle as well as left uncal herniation thorugh the tentorial hiatus compressing the brain stem and causing left 3rd nerve palsy (dilated left pupil).

Small acute right convexity subdural hematoma as well as isodense left subdural.

Case Discussion

Elegantly demonstrating subacute (isodense) left-sided subdural hematoma with significant positive mass effect. 

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