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Acute Subdural Hematoma

Knaus CMK - MedPix (2013)

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: Acute Subdural Hematoma

History: 54 y.o. man, 3 days post uncomplicated repair hernia repair. In the morning he is transferred from the ICU to the general medicine and surgery ward. and a couple hours later, he is found to be somnolent and with a left facial droop. PMH: The patient has a mechanical cardiac valve and is on an anti-coagulation regimen; and, was being transitioned to his outpatient anti-coagulation regimen.

Findings: There is a large subdural fluid collection that shows layering, also referred to as the hematocrit effect. This is secondary to the patient's anticoagulation regimen and represents the blood settling out into its plasma and cell constituents. The subdural has and undulating or lobulated appearance which may be secondary to prior, chronic subdural hemorrhages and the development of dural adhesions.

Ddx: The main differential considerations in this case are regarding the chronicity of the subdural hemorrhage.

Dxhow: Imaging

No MeSH data available.


This patient was anticoagulated for a cardiac procedure, and developed a headache later the same day.  No obvious signs of trauma.
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MPX1747_synpic59522: This patient was anticoagulated for a cardiac procedure, and developed a headache later the same day. No obvious signs of trauma.


Acute Subdural Hematoma

Knaus CMK - MedPix (2013)

This patient was anticoagulated for a cardiac procedure, and developed a headache later the same day.  No obvious signs of trauma.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1747&req=5

MPX1747_synpic59522: This patient was anticoagulated for a cardiac procedure, and developed a headache later the same day. No obvious signs of trauma.

View Article: MedPix Image - MedPix Case

Affiliation: Walter Reed National Military Medical Center

ABSTRACT

Diagnosis: Acute Subdural Hematoma

History: 54 y.o. man, 3 days post uncomplicated repair hernia repair. In the morning he is transferred from the ICU to the general medicine and surgery ward. and a couple hours later, he is found to be somnolent and with a left facial droop. PMH: The patient has a mechanical cardiac valve and is on an anti-coagulation regimen; and, was being transitioned to his outpatient anti-coagulation regimen.

Findings: There is a large subdural fluid collection that shows layering, also referred to as the hematocrit effect. This is secondary to the patient's anticoagulation regimen and represents the blood settling out into its plasma and cell constituents. The subdural has and undulating or lobulated appearance which may be secondary to prior, chronic subdural hemorrhages and the development of dural adhesions.

Ddx: The main differential considerations in this case are regarding the chronicity of the subdural hemorrhage.

Dxhow: Imaging

No MeSH data available.