Acute subdural hematoma

Case contributed by A.Prof Frank Gaillard

Presentation

Pedestrian hit by car. Decreased consious state.

Patient Data

Age: 25 years
Gender: Male
CT

CT brain

An 11 mm left frontal subdural hematoma effaces the cortical sulci and results in 2 mm of subfalcine herniation. A smaller subdural hematoma in the left anterior temporal fossa measures 7 mm.
Right temporal lobe hemorrhagic contusion is associated with sulcal subarachnoid blood and a thin (2 mm) subdural hematoma.

No intraventricular blood. No transtentorial or tonsillar herniation. Grey white matter differentiation is preserved, with no evidence of acute ischemia.

Case Discussion

In young patients acute subdural hematomas are usually seen in the setting of significant head trauma, usually with associated hemorrhagic contusions.

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Case information

rID: 23111
Published: 22nd May 2013
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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