Türk Nöroşirürji Dergisi
2012 , Vol 22 , Num 3
Acute Subdural Hematoma Mimicking Epidural Hematoma: Case Report
Etlik İhtisas Eğitim ve Araştırma Hastanesi, Nöroşirürji Kliniği, Ankara, Türkiye
Acute subdural hematoma is one of the most common clinical entities encountered in daily neurosurgical practice and normally appears as
a cresenteric collection of blood on CT scans. However, in rare conditions, some SDHs may have a lentiform shape, mimicking acute epidural
hematoma. While the mechanism of this aspect is not well understood, most theories blame on the adhesions and the blockage of the
subdural space. In this article we describe a 79 years old female patient with an acute subdural hematoma mimicking a lentiform epidural
hematoma radiologically and disscuss the differential features of these two entities on CT scans. The suspicious point in our case was the
discordant clinical status with such an epidural hematoma. In the modern era that we live, diagnosis are usually made on the basis of high
tech radiological examinations. With this case we emphasize the importance of the clinical evaluation and physical examination. The accurate
diagnosis can be made on the basis of clinical evaluation and concordant radiological findings.
Anahtar Kelimeler :
Acute subdural hematoma, Epidural hematoma, Computer tomography