Subacute subdural hematoma

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 hematoma with marked compression and displacement of the lateral ventricles with subfalcine herniation.

No acute hemorrhage.

Case Discussion

This case isn't subtle, but isodense subdural hematomas (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 hematoma is well illustrated.

Surgery was performed the following day.

 

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Case information

rID: 48794
Published: 26th Oct 2016
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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