Duret hemorrhage with large subdural hematoma
Diagnosis almost certain
Disclosures
- updated 4 May 2022:
Nothing to disclose
Updates to Case Attributes
Body
was changed:
This case demonstrates a Duret haemorrhage secondary to rapid transtentorial herniation in the setting of a large right subdural haematoma (SDH).
It also illustrates the distortion and mass effect on the circle of Willis vessels evidenced by reduced flow in the ipsilateral right PCA.
-<p>This case demonstrates a nice example of a <a title="Duret haemorrhage" href="/articles/duret-haemorrhage">duret haemorrhage</a> secondary to rapid <a title="Transtentorial herniation" href="/articles/transtentorial-herniation">transtentorial herniation</a> in the setting of a large right subdural haematoma (SDH).</p><p>It also illustrates the distortion and mass effect on the circle of Willis vessels evidenced by reduced flow in the ipsilateral right PCA.</p>- +<p>This case demonstrates a <a href="/articles/duret-haemorrhage">Duret haemorrhage</a> secondary to rapid <a href="/articles/transtentorial-herniation">transtentorial herniation</a> in the setting of a large right subdural haematoma (SDH).</p><p>It also illustrates the distortion and mass effect on the circle of Willis vessels evidenced by reduced flow in the ipsilateral right PCA.</p>
Updates to Study Attributes
Findings
was changed:
- large right subdural haematoma causes extensive intracranial mass effect with leftward subfalcine herniation and
transtentorialtranstentorial herniation. No tonsillar herniation - further parenchymal haemorrhage centered within the pons with intraventricular extension of this haemorrhage into the 4th ventricle
Updates to Study Attributes
Findings
was changed:
- the circle of Willis vessels are distorted on account of the large subdural haematoma
- there is reduced flow within the right posterior cerebral artery relative to the left, likely on account of the transtentorial herniation
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