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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 hyperintense subdural hematoma overlying both cerebral hemispheres (arrows).  Notice that the the abnormal signal does not extend into the subarachnoid spaces of the sulci and Sylvian fissures (arrowheads).
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MPX2534_synpic53759: MRI shows extensive hyperintense subdural hematoma overlying both cerebral hemispheres (arrows). Notice that the the abnormal signal does not extend into the subarachnoid spaces of the sulci and Sylvian fissures (arrowheads).


Acute bilateral subdural hematomas, convexity, interhemispheric, tentorial

Goldstein SJG - MedPix (2010)

MRI shows extensive hyperintense subdural hematoma overlying both cerebral hemispheres (arrows).  Notice that the the abnormal signal does not extend into the subarachnoid spaces of the sulci and Sylvian fissures (arrowheads).
© Copyright Policy - open-access
Related In: Results  -  Collection

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

MPX2534_synpic53759: MRI shows extensive hyperintense subdural hematoma overlying both cerebral hemispheres (arrows). Notice that the the abnormal signal does not extend into the subarachnoid spaces of the sulci and Sylvian fissures (arrowheads).

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.