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Acute bilateral subdural hematomas, convexity, interhemispheric, tentorial

Goldstein SJG - MedPix (2010)

View Article: MedPix Image - MedPix Case

Affiliation: University of Kentucky

ABSTRACT

Diagnosis: Acute bilateral subdural hematomas, convexity, interhemispheric, tentorial

History: 87 year old woman was found unresponsive, in bed, by her daughter. She is taking Coumadin® (warfarin) for treatment of atrial fibrillation.

Findings: • CT shows "thickening" of the falx and the tentorium bilaterally • MRI shows extensive bilateral extraaxial subdural fluid consistent with hematoma (SDH) overlying both cerebral hemispheres. The SDH is also seen layering in between the cerebral hemishperes and along the tentorial leaves - extending into posterior fossa.

Ddx: • Subdural empyema • Subdural hematoma • Subarachnoid hematoma • Epidural hematoma

Dxhow: MRI

Exam: • Decreased level on consciousness. • No focal neurological injury noted.

No MeSH data available.


MRI shows extensive subdural hematoma (hyperintense) overlying both cerebral hemispheres (arrows), layering in between the tentorial (arrowheads) leaves and extending into posterior fossa under the cerebellum (arrows).
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MPX2534_synpic53756: MRI shows extensive subdural hematoma (hyperintense) overlying both cerebral hemispheres (arrows), layering in between the tentorial (arrowheads) leaves and extending into posterior fossa under the cerebellum (arrows).


Acute bilateral subdural hematomas, convexity, interhemispheric, tentorial

Goldstein SJG - MedPix (2010)

MRI shows extensive subdural hematoma (hyperintense) overlying both cerebral hemispheres (arrows), layering in between the tentorial (arrowheads) leaves and extending into posterior fossa under the cerebellum (arrows).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2534&req=5

MPX2534_synpic53756: MRI shows extensive subdural hematoma (hyperintense) overlying both cerebral hemispheres (arrows), layering in between the tentorial (arrowheads) leaves and extending into posterior fossa under the cerebellum (arrows).

View Article: MedPix Image - MedPix Case

Affiliation: University of Kentucky

ABSTRACT

Diagnosis: Acute bilateral subdural hematomas, convexity, interhemispheric, tentorial

History: 87 year old woman was found unresponsive, in bed, by her daughter. She is taking Coumadin® (warfarin) for treatment of atrial fibrillation.

Findings: • CT shows "thickening" of the falx and the tentorium bilaterally • MRI shows extensive bilateral extraaxial subdural fluid consistent with hematoma (SDH) overlying both cerebral hemispheres. The SDH is also seen layering in between the cerebral hemishperes and along the tentorial leaves - extending into posterior fossa.

Ddx: • Subdural empyema • Subdural hematoma • Subarachnoid hematoma • Epidural hematoma

Dxhow: MRI

Exam: • Decreased level on consciousness. • No focal neurological injury noted.

No MeSH data available.