Chronic subdural hematoma

Case contributed by Dr Bita Abbasi

Presentation

Altered mental status

Patient Data

Age: 90
Gender: Male
MRI

Chronic subdural hematoma is seen in the right side with a hematocrit level.

Multiple T2W/FLAIR high signal intensity lesions in the periventricular white matter represent chronic small vessel changes.

Case Discussion

Note how concentrated methemoglobin causes decreased signal in T2W and increased signal in T1W and FLAIR images. Also note the diffusion restriction effect of concentrated methemoglobin in the dependent portion of the subdural hematoma.

PlayAdd to Share

Case information

rID: 22658
Published: 14th Apr 2013
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.