Chronic subdural hemorrhage

Case contributed by Tariq Walizai
Diagnosis almost certain

Presentation

The patient was presented to ER with complaint of headache.

Patient Data

Age: 55 years
Gender: Male

Brain

ct

There is a crescent-shaped hypodense collection (with a maximum thickness of about 13.5 mm) in the left fronto-parietal, temporal, and part of the occipital regions.  A small amount of hyperdense material (blood presumably) is seen layering in this collection as well. Mass effects are manifested as compression of surrounding sulci/gyri, left basal ganglia, thalamus and left lateral ventricle with mid-line shift towards the right side.

Case Discussion

CT features with mass effects on the underlying brain parenchyma and ventricular system are characteristic for the chronic subdural hematoma as described.

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