Retroclival hematoma

Case contributed by Yahya Baba
Diagnosis almost certain

Presentation

Headache in a patient under oral anticoagulant.

Patient Data

Age: 65 years
Gender: Female
ct

Non-contrast CT of the head shows an extra-axial hyperdense collection with a mean attenuation of 65 UH, located along the dorsum sellae, the clivus and reaching the dens.

Case Discussion

Retroclival hematoma typically occurs in the epidural space, following head trauma. 

This case demonstrates a spontaneous retroclival hematoma, which is a rare complication of oral anticoagulant therapy.

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