Spontaneous subdural haematomas

Case contributed by Dr Henry Knipe

Presentation

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

Patient Data

Age: 30
Gender: Male
Modality: CT

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

Modality: Diagram

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
Case created: 11th Sep 2015
Last edited: 26th May 2016
Inclusion in quiz mode: Included

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