Subdural hygroma

Case contributed by Bita Abbasi
Diagnosis certain

Presentation

Head trauma.

Patient Data

Age: 50 years
Gender: Male
mri

T2WI: An extra-axial collection with CSF signal intensity and the mild mass effect is seen in the right hemisphere.

FLAIR: Areas of high signal intensity representing SAH are seen in the sulci of the right temporal lobe.

Case Discussion

Differential diagnoses include subdural hygroma, chronic subdural hematoma, and cerebral atrophy. The presence of mild sulcal effacement and mass effect makes the diagnosis of brain atrophy less likely.

Due to the acute nature of trauma according to the patient description, acute traumatic subdural hygroma is more likely.

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