Board Certified Neurosurgeon Brain & Spine Care 860-889-9035
Mark Hornyak, MDBoard Certified Neurosurgeon
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Brain / Trauma Case

Acute Subdural hematoma (SDH)

78 year-old man presents to ER after fall

Description

78 year-old man presents to ER after fall.
Confused.
Taken emergently to OR for Left-sided trauma craniotomy.

Gallery

Images

Figure 1Initial CT showing large left-sided subdural hematoma with a large amount of mass effect and midline shift.
Figure 2Intraoperative photo showing incision marked out on the left side of the head. Due to extensive nature of the hemorrhage, the incision is long allowing exposure to much of the left side of the brain.
Figure 3Intraoperative photo taken after craniotomy but prior to opening the dura.
Figure 4Intraoperative photo taken after opening the dura showing the large amount of subdural blood being evacuated from the subdural space.
Figure 5Intraoperative photo showing the surface of the left side of the brain after evacuation of the subdural hematoma.
Figure 6Postoperative CTs taken immediately after surgery (left), 4 days postop (center), and 2 weeks (right) after surgery. Shows slight recurrence of SDH without significant mass effect. Shows resolution of midline shift.

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