Subacute and chronic subdural hematomas

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Recent onset left hemiparesis.

Patient Data

Age: 85 years
Gender: Male

Bilateral frontoparietal subdural hematomas. The right subdural hematoma demonstrates high signal intensity on T1, T2, and FLAIR, with internal septations of low signal, indicative of a subacute hematoma. Positive mass-effect is noted on the midline structures. The left subdural hematoma demonastrates low signal intensity on T1 and FLAIR and high signal intensity on T2WI, indicative of a chronic hematoma.

 

Case Discussion

MRI appearances of bilateral subdural hematomas in the subacute phase on the right and in chronic phase on the left.

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