Subdural hematoma - thin

Case contributed by Ian Bickle
Diagnosis certain

Presentation

RTA. A headache. Vomited. GCS 15/15.

Patient Data

Age: 25 years
Gender: Female
ct

3mm right frontoparietal subdural hematoma.  No mass effect.

The intracranial appearances are otherwise normal.

No skull vault fracture.

Case Discussion

The sharp eyes when busy on call will be concerned on the routine brain windows of the right-sided thin subdural hematoma.  It is just visible separate from the skull.

However, a couple of seconds to manually window the study to subdural settings makes it much clearer.

This is worth that effort on all CT heads, even when overwhelmed with volumes of work.

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