Tentorium cerebelli subdural hematoma

Case contributed by RMH Core Conditions

Presentation

Inpatient with left-sided weakness (?stroke). Fall tonight - MET call for decreased GCS ?ICH.

Patient Data

Age: 55 years
Gender: Male
CT

Brain

 There is a 2.5 mm thick extra-axial collection of high-density material along the right tentorium cerebelli in keeping with subdural hematoma.

No evidence of intra-axial hemorrhage or acute large cortical territorial infarction. No skull fracture. There is extensive opacification of the right maxillary sinus with high-density material in keeping with hematoma. Secretions in the nasal cavity and nasopharynx are shown. 

There is a nasal bone fracture.

Case Discussion

This case demonstrates the importance of reviewing all the images available and the benefit of multiplanar imaging of the brain in the setting of trauma. On axial plane images, the subdural hematoma is subtle but on is plainly evident on both the coronal and sagittal planes. 

 

Acknowledgement: Dr Jan Gerstenmaier. 

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Case information

rID: 26094
Published: 28th Nov 2013
Last edited: 19th Nov 2019
Inclusion in quiz mode: Included

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