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