Right tentorium cerebelli subdural haematoma

Case contributed by RMH Core Conditions

Presentation

Inpatient with left-sided weakness (?stroke). Fall tonight - MET call for decreased GCS ?ICH.

Patient Data

Age: 55
Gender: Male

 There is a 2.5 mm thick extra axial collection of high density material along the right tentorium cerebelli in keeping with subdural haematoma.

No evidence of intra-axial haemorrhage or acute large cortical territorial infarction. No skull fracture. There is extensive opacification of the right maxillary sinus with high density material in keeping with haematoma. Secretions in the nasal cavity and nasopharynx are shown. 

There is a nasal bone fracture.

Acknowledgement: Dr Jan Gerstenmaier. 

Case Discussion

This case demonstrates the importance of reviewing all the images available and the benefit of multiplanar imaging of the brain in the setting of trauma. On axial plane images the subdural haematoma is subtle but on is plainly evident on both the coronal and sagittal planes. 

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Case information

rID: 26094
Case created: 28th Nov 2013
Last edited: 24th Sep 2015
Inclusion in quiz mode: Included

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