Patient came to emergency room with severe headaches and disorientation. No history of trauma
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CT scan demonstrates that there is a large hyperdense right parietal subdural hematoma. There is associated mass effect that induces midline shift with effacement of the right lateral ventricle
A subdural hematoma ia a collection of blood between the dura and arachnoid . In general it is secondary to rupture of cortical veins.
The subdural hematoma is one of the most fatal injuries of the head and has a high mortality (50-85%)