EURORAD ESR

Case 316

Unilateral isodense subdural hematoma

Author(s)
Micallef M., Gillespie J.S., Sharkey A.N.
 
Patient
male, 62 year(s)
 
 
  • Published 27.11.2000
  • DOI 10.1594/EURORAD/CASE.316
  • Section Neuroradiology
  • Case Type Clinical Cases
  • Difficulty Resident
  • Views 15056
  • Language(s)
  • Figure 1
    CT brain, no contrast, level of the body of the lateral ventricles

    There is prominent transfalcine herniation (midline shift)to the left with no apparent cause and moderate peri ventricular oedema or ischemia on the left. Note ring artefact (concentric circles seen throughout the...

     
    Area of Interest: unknown; Imaging Technique: CT brain, no contrast, level of the body of the lateral ventricles;
     
     
  • Figure 2
    CT brain, no contrast, level just above the lateral ventricles.

    There are multiple small cerebral contusions and a small extradural hematoma in and around the right parietal lobe. Note again the loss of white matter around the left lateral ventricle, the midline shift and the...

     
    Area of Interest: unknown; Imaging Technique: CT brain, no contrast, level just above the lateral ventricles.;
     
     
  • Figure 3
    CT brain, iv contrast, level of the temporal horns of the lateral ventricles

    Note midline shift,effacement of sulci and ipsilateral ventricular compression.Intravenous contrast enhances the inner table and the cortical-subdural interface. This is a feature of an isodense subdural hematoma.

     
    Area of Interest: unknown; Imaging Technique: CT brain, iv contrast, level of the temporal horns of the lateral ventricles;
     
     
  • Figure 4
    CT brain, iv contrast, level of the bodies of the lateral ventricles

    Note midline shift,effacement of sulci and ipsilateral ventricular compression, other features of isodense unilateral subdural hematoma.

     
    Area of Interest: unknown; Imaging Technique: CT brain, iv contrast, level of the bodies of the lateral ventricles;
     
     
  • Figure 5
    CT brain,iv contrast, level just above the lateral ventricles.

    Note the small hemorrhage on the right and the disproportionate midline shift to the left.

     
    Area of Interest: unknown; Imaging Technique: CT brain,iv contrast, level just above the lateral ventricles.;
     
     
There is prominent transfalcine herniation (midline shift)to the left with no apparent cause and moderate peri ventricular oedema or ischemia on the left. Note ring artefact (concentric circles seen throughout the image), a technical problem caused by CT detector miscalibration.
 
There are multiple small cerebral contusions and a small extradural hematoma in and around the right parietal lobe. Note again the loss of white matter around the left lateral ventricle, the midline shift and the ring artefact.
 
Note midline shift,effacement of sulci and ipsilateral ventricular compression.Intravenous contrast enhances the inner table and the cortical-subdural interface. This is a feature of an isodense subdural hematoma.
 
Note midline shift,effacement of sulci and ipsilateral ventricular compression, other features of isodense unilateral subdural hematoma.
 
Note the small hemorrhage on the right and the disproportionate midline shift to the left.
 
 
 
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