Subdural hematoma - subtle

Case contributed by Andrew Kirby
Diagnosis probable

Presentation

Fall with minor head injury. On enoxaparin. Clinically well in ED with normal neuro-observations.

Patient Data

Age: 75 years
Gender: Female
ct

Subtle increase in density and thickness of the lower falx posteriorly and left tentorium, indicating a subtle subdural hematoma. No skull fracture.

Case Discussion

This finding of trace subdural hematoma is relatively common and is unlikely to be of significance to ongoing management aside from determining duration of neuro-observation, the ward on which they are monitored and prompting review of medication.

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