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J Med Case Rep. 2016 Feb 24;10:43. doi: 10.1186/s13256-016-0822-x.

Acute isodense subdural hematoma on computed tomography scan--diagnostic and therapeutic trap: a case report.

Author information

1
Department of Neurosurgery, Bocage Central, University Hospital of Dijon, 14 rue Paul Gaffarel, 21000, Dijon, France. michael.grelat@gmail.com.
2
Department of Neurosurgery, Bocage Central, University Hospital of Dijon, 14 rue Paul Gaffarel, 21000, Dijon, France. rachidmadkouri@gmail.com.
3
Department of Neurosurgery, Bocage Central, University Hospital of Dijon, 14 rue Paul Gaffarel, 21000, Dijon, France. olivier.bousquet@chu-dijon.fr.

Abstract

BACKGROUND:

Post-traumatic acute subdural hematomas generally appear hyperdense on a computed tomography scan. In the hyperacute stage, a subdural hematoma in rare cases appears heterogeneous with isodense images. This can pose a diagnostic problem and compromise patient care. Here we report a case of an isodense subdural hematoma and its management.

CASE PRESENTATION:

We report the case of a 59-year-old white European man who had a serious head injury with an acute subdural hematoma. The trauma was also responsible for blood loss and hemostasis disorders. A cerebral computed tomography scan revealed an isodense subdural hematoma. Our intervention confirmed that it was an acute hematoma.

CONCLUSIONS:

This unusual isodense appearance is due to anemia. It can be the cause of misdiagnosis and incorrect treatment choices.

PMID:
26911513
PMCID:
PMC4766658
DOI:
10.1186/s13256-016-0822-x
[Indexed for MEDLINE]
Free PMC Article

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