PMID: 15347216Sep 7, 2004Paper

Diffusion-weighted magnetic resonance imaging of organized subdural hematoma--case report

Neurologia Medico-chirurgica
S KuwaharaYasufumi Uchida

Abstract

A 59-year-old male presented with a left organized subdural hematoma. The hematoma appeared as a homogeneous low density area on brain computed tomography and as hyperintense and isointense area on both fluid-attenuated inversion recovery and T2-weighted magnetic resonance (MR) imaging. Echo-planar diffusion-weighted MR imaging showed a crescent hyperintense area under the dura mater and an irregular hypointense area over the brain surface in the left subdural space. The apparent diffusion coefficient (ADC) values of the solid and liquid hematoma were 0.86 +/- 0.32 x 10(-3) and 2.56 +/- 0.39 x 10(-3) mm2/sec, respectively. The ADC value of the solid hematoma was similar to acute subdural or intraparenchymal hematoma, and that of the liquid was similar to cerebrospinal fluid. Burr-hole surgery failed to remove all the hematoma, and he complained of persistent headache. The hematoma was removed through a craniotomy without further neurological deficits. Organized subdural hematoma often requires craniotomy for evacuation because of its solid content. Diffusion-weighted MR imaging and measurement of ADC values can differentiate solid from liquid hematoma, so are useful for selection of the surgical procedure.

References

Sep 1, 1989·AJR. American Journal of Roentgenology·E S FobbenL T Bilaniuk
Nov 1, 1987·Journal of Neurosurgery·K HosodaF Maeda
Jan 1, 1984·Radiology·J T SipponenA Sivula
Sep 1, 1981·Journal of Neurosurgery·T M MarkwalderH Markwalder
Sep 18, 1997·Surgical Neurology·R I ErnestusN Klug
Feb 24, 2001·Neurologia Medico-chirurgica·S ImaizumiH Naganuma
May 31, 2001·Neurologia Medico-chirurgica·S KuwaharaS Uga
Jan 5, 2002·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·B K KangY S Pyeun

❮ Previous
Next ❯

Citations

Oct 1, 2005·Neurologia Medico-chirurgica·Seikou KuwaharaOsamu Kumano
Dec 3, 2010·Neurologia Medico-chirurgica·Ruth PrietoMiguel Yus
Sep 4, 2010·Journal of Magnetic Resonance Imaging : JMRI·Se Jin NamKi Whang Kim
Dec 7, 2013·Neurologia Medico-chirurgica·Giorgio Maria CalloviniVincenzo Gammone
Jul 9, 2016·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Jhii-Hyun AhnKi Whang Kim
Jan 23, 2018·Journal of Korean Neurosurgical Society·Seung-Hwan LeeSe-Hoon Kim

❮ Previous
Next ❯

Related Concepts

Related Feeds

CSF & Lymphatic System

This feed focuses on Cerebral Spinal Fluid (CSF) and the lymphatic system. Discover the latest papers using imaging techniques to track CSF outflow into the lymphatic system in animal models.