Mobile CT brain with small volume subarachnoid hemorrhage and new left subdural hygroma

Case contributed by Chris Newman
Diagnosis certain

Presentation

Follow up of traumatic subarachnoid hemorrhage

Patient Data

Age: 75 years
Gender: Male
  • mobile CT demonstrates persistent small volume right posterior frontal sulcal subarachnoid hemorrhage

  • interval development of a left frontal cerebral convexity low density subdural hygroma compared with the prior study

  • right-sided scalp staples noted

  • initial CT in the emergency department demonstrates a trace right posterior frontal sulcal subarachnoid hemorrhage

  • large right frontal scalp laceration with gas within the scalp soft tissues

Case Discussion

Mobile CT brains can be utilized effectively for gross pathology, particularly when patients are in intensive care and the time and human resources that are required to transport the patient to the radiology department are excessive.

This case is a good example where the mobile CT is able to visualize even small intracranial bleeds as well as diagnose any interval hemorrhage (in this case a relatively acute subdural hygroma).

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