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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.


CT shows slight increase in thickness of the falx (arrows) and density only.  This is very suggestive of a thin subdural hematoma layering against this dural reflection.
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MPX2534_synpic53758: CT shows slight increase in thickness of the falx (arrows) and density only. This is very suggestive of a thin subdural hematoma layering against this dural reflection.


Acute bilateral subdural hematomas, convexity, interhemispheric, tentorial

Goldstein SJG - MedPix (2010)

CT shows slight increase in thickness of the falx (arrows) and density only.  This is very suggestive of a thin subdural hematoma layering against this dural reflection.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX2534_synpic53758: CT shows slight increase in thickness of the falx (arrows) and density only. This is very suggestive of a thin subdural hematoma layering against this dural reflection.

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.