Subdural hemorrhage: acute-on-chronic

Case contributed by Dr Jeremy Jones

Right subdural hematoma with mixed density - the hyperdense (acute) component is seen inferiorly when the hypodense (chronic) component is seen superiorly. 

Case Discussion

CT scan through the brain of an elderly patient demonstrates a subdural hemorrhage with acute and chronic components. Note how the acute blood sinks inferiorly (hematocrit effect). A similar appearance can rarely be seen in acute hemorrhage in patients on anticoagulants, where the blood separates into serum and hematocrit rather than clotting. 

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Case information

rID: 6440
Published: 25th Jun 2009
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

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