Subacute subdural hematoma

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

One week history of Left hemiparesis.

Patient Data

Age: 70 years
Gender: Male
mri

The MRI sequences demonstrate a crescent-shaped right frontoparietal subdural collection (maximum thickness 32 mm) of high signal intensity on T1, T2 and FLAIR with internal septations of low signal, in keeping with late subacute subdural hematoma.

Mass effect is noted on the midline structures with subfalcine herniation and dilatation of the contralateral ventricular system.

Case Discussion

MRI features of late subacute subdural hematoma (extracellular methemoglobin).

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