Images in clinical medicine | Volume 3, Article 80, 01 Jul 2020 | 10.11604/pamj-cm.2020.3.80.23843

Acute subdural hematoma of the posterior cerebral fossa

Salma Marrakchi, Najwa Ech-Cherif El Kettani

Corresponding author: Salma Marrakchi, Neuroradiology Department, Head and Neck Hospital of Rabat, Rabat, Morocco

Received: 29 May 2020 - Accepted: 27 Jun 2020 - Published: 01 Jul 2020

Domain: Radiology,Neurosurgery

Keywords: Acute subdural hematoma, CT, posterior fossa

©Salma Marrakchi et al PAMJ - Clinical Medicine (ISSN: 2707-2797). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Salma Marrakchi et al . Acute subdural hematoma of the posterior cerebral fossa. PAMJ - Clinical Medicine. 2020;3:80. [doi: 10.11604/pamj-cm.2020.3.80.23843]

Available online at: https://www.clinical-medicine.panafrican-med-journal.com/content/article/3/80/full

Home | Volume 3 | Article number 80

Images in clinical medicine

Acute subdural hematoma of the posterior cerebral fossa

Acute subdural hematoma of the posterior cerebral fossa

Salma Marrakchi1,&, Najwa Ech-Cherif El Kettani1

 

1Neuroradiology Department, Head and Neck Hospital of Rabat, Rabat, Morocco

 

 

&Corresponding author
Salma Marrakchi, Neuroradiology Department, Head and Neck Hospital of Rabat, Rabat, Morocco

 

 

Image in medicine    Down

Our work is about a 28-year-old man, admitted to the emergency room for a head trauma. A cerebral CT was performed who shows a biconvex sub-tentorial extra-axial collection spontaneously hyperdense suggesting an extra dural hematoma of the posterior cerebral fossa. The surgical evacuation found that it was an acute subdural hematoma (ASDH) (A,B). The ASDH is a subdural blood collection, complicating venous more than arterial bleeding with male predominance and an age between 20 and 40. Most commonly supratentorial, sub-tentorial location is rare it represents less than 5%. The clinic associate alteration of consciousness, signs of focusing, vegetative manifestations and epilepsy. The diagnosis is based on a CT scan which shows an extra-axial hyperdense collection with more or less associated lesions. After medical management the treatment is surgical, based on the removal of the hematoma by suboccipital craniectomy.

 

 

Figure 1: axial CT section (A) and coronal CT section (B) shows a biconvex sub-tentorial extra-axial collection spontaneously hyperdense related to an acute subdural hematoma of the posterior cerebral fossa

 

 

 

 

Images in clinical medicine

Acute subdural hematoma of the posterior cerebral fossa

Images in clinical medicine

Acute subdural hematoma of the posterior cerebral fossa

Images in clinical medicine

Acute subdural hematoma of the posterior cerebral fossa