Spontaneous subdural haematomas

Case contributed by Dr Henry Knipe


Headache for 5 days. No history of trauma. Taking ibuprofen. Gum bleeding.

Patient Data

Age: 30
Gender: Male

Thin subdural haematomas involving the falx cereberi, extending along the right tentorium cerebelli, as well as along the right lateral convexity. 


Full blood examination demonstrated marked pancytopaenia. 

Case Discussion

This patient was diagnosed with acute promyelocytic leukaemia (APML). Haematological malignancies are one of the causes of spontaneous subdural haematoma. Other risk factors include

  • hypertension
  • vascular malformations
  • dural tumour, e.g. metastases
  • infection
  • coagulopathy
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Case information

rID: 39610
Published: 10th Oct 2015
Last edited: 14th Oct 2017
Inclusion in quiz mode: Included

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