By Natsumi T. Hamahata, Kazuma NakagawaFirst Online:
01 November 2019
A large acute subdural hematoma (SDH) may result in regional brain compression, elevated intracranial pressure and cerebral hypoperfusion, which could ultimately lead to secondary brain injury. The severity of this secondary brain injury does not always reflect the radiographic findings, and the extent of potentially salvageable area of regional cerebral hypoperfusion from the regional brain compression is difficult to assess clinically. Currently, the clinical utility of using an advanced neuroimaging such as computed tomography (CT) perfusion after acute SDH has not been adequately studied. This is a rare neuroimage of acute SDH evaluated with CT perfusion study that was analyzed in real time, using automated software, to determine the extent of ischemic penumbra on admission.
An 85-year-old female with no major medical history and no prior antiplatelet or anticoagulant use was found down on the floor altered with initial Glasgow Coma Scale of 13 in the field and declined to 8...Read full article