Subacute subdural hematoma

Case contributed by Dr Ian Bickle


Subdural hematoma evacuation 4 weeks prior. Re-admitted with altered GCS.

Patient Data

Age: 71
Gender: Male

Right frontal and parietal burr holes.

Large right sided frontoparietal, almost exclusively isodense, subdural hematoma with a minor amount of acute blood in the inferior aspect of the collection.

Marked sulcal effacement and compression and shift of the right lateral ventricle with subfalcine herniation.

Case Discussion

Subacute subdural hematomas are the most difficult to identify especially when small, as the blood is isodense to the brain parenchyma.

Ancillary signs of sulcal effacement and use to of manual windowing ( second set of CT images ) assist in delineation.

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Case information

rID: 45530
Published: 28th May 2016
Last edited: 15th Dec 2019
Inclusion in quiz mode: Included

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