File:Acute subdural hematoma with myelofibrosis (Radiopaedia 52582-58494 Axial bone window 64).jpg

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Summary:

Description
  • Radiopaedia case ID: 52582
  • Image ID: 29731426
  • Image stack position: 64/75
  • Plane projection: Axial
  • Aux modality: bone window
  • Modality: CT
  • System: Central Nervous System
  • Findings: Large right acute subdural hematoma demonstrates mixed density and is causing significant mass effect. The right lateral ventricle is effaced and the left lateral ventricle entrapped and dilated, with posterior periventricular CSF seepage causing hypodensity. Midline shift measures 20mm. The cingulate gyrus is herniating under the anterior falx and there is obliteration and asymmetry of the ambient cisterns in keeping with transtentorial herniation. No tonsillar herniation identified in the posterior fossa however. Grey/white matter differentiation is preserved. No skull fracture. Diffuse sclerosis of the cranium in keeping with myelofibrosis. Conclusion Large right acute subdural hematoma causing significant mass effect and midline shift. Left lateral ventricle is entrapped and there is descending transtentorial and cingulate herniation. No tonsillar herniation identified.
Date Published: 1st Jun 2017
Source https://radiopaedia.org/cases/acute-subdural-haematoma-with-myelofibrosis
Author Craig Hacking
Permission
(Permission-reusing-text)
http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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current20:20, 19 April 2021Thumbnail for version as of 20:20, 19 April 2021766 × 861 (97 KB) (talk | contribs)Radiopaedia project rID:52582 (batch #1116-215 D64)

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