- Clinical Images
- Open Access
Acute-on-chronic subdural hematoma
© The Author(s) 2010
Received: 19 April 2010
Accepted: 18 August 2010
Published: 2 November 2010
A 38-year-old male complains of a right-sided retro-orbital-temporal headache of 2-day duration. It is described as intermittent and pressure-like, and is preceded by bouts of left arm numbness. He denies diplopia, visual changes, nausea, vomiting, or alterations in his consciousness. No acute trauma is reported, but he gives a history of airline travel within the past 24 h. His parents are present at the bedside and volunteer that the patient and his wife were involved in a motorcycle crash 3 months ago in which his wife was killed.
The patient is alert and oriented with normal vital signs and a normal physical exam. A CT of the head without contrast is performed and reveals an acute-on-chronic subdural hematoma with a 1.6-cm midline shift (Figs 1, 2 and 3). Neurosurgery is performed emergently.
- Meagher, R. Subdural Hematoma. The EMedicine Clinical Knowledge Database [online] Nov 2, 2006 available at: http://www.emedicine.com/neuro/TOPIC575.HTM
This article is published under license to BioMed Central Ltd. Open Access This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.