Subacute subdural haematoma

Case contributed by Dr Ian Bickle

Presentation

Previous operated subdural haematoma. Unsteady on feet. Attends in wheelchair.

Patient Data

Age: 59
Gender: Male
CT

Left frontal and parietal burr holes.

Large left sided isodense subdural haematoma with marked compression and displacement of the lateral ventricles with subfalcine herniation.

No acute haemorrhage.

Case Discussion

This case isn't subtle, but isodense subdural haematomas (subacute) can be the most difficult to identify as the appearances is similar to brain matter.

The so called 'banana shaped' appearance of a subdural haematoma is well illustrated.

Surgery was performed the following day.

 

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Case information

rID: 48794
Case created: 25th Oct 2016
Last edited: 27th Oct 2016
Inclusion in quiz mode: Included

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