{"title":"Acute interhemispheric subdural hematoma with neuroimagings of two trauma cases in the emergency department","authors":"Begum Calp , Bahadır Taslidere , Ertan Sonmez , Gokce Deniz Uzunoglu","doi":"10.1016/j.jemrpt.2023.100039","DOIUrl":null,"url":null,"abstract":"<div><h3>Backround</h3><p>Subdural hematomas are clinically important in that they occur commonly in elderly trauma patients and cause a high mortality. Since interhemispheric subdural hematoma is rare among cases of subdural hematoma and is a diagnosis that can be missed in the emergency department, it is aimed to discuss this condition with two case reports and the relevant neuroimages which were overlooked initially.</p></div><div><h3>Two case reports</h3><p>The first report of neuroimages of two geriatric patients with head trauma was reported as normal. The images were re-evaluated due to persistent headache during the emergency observation. An overlooked interhemispheric subdural hematoma was diagnosed.</p></div><div><h3>Why should an emergency physician be aware of this?</h3><p>We aimed to contribute to the literature with these two cases, because an acute interhemispheric subdural hematoma may be overlooked on CT images, because it is in proximity to the falx and is usually a small lesion.</p></div>","PeriodicalId":73546,"journal":{"name":"JEM reports","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"JEM reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2773232023000354","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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Abstract
Backround
Subdural hematomas are clinically important in that they occur commonly in elderly trauma patients and cause a high mortality. Since interhemispheric subdural hematoma is rare among cases of subdural hematoma and is a diagnosis that can be missed in the emergency department, it is aimed to discuss this condition with two case reports and the relevant neuroimages which were overlooked initially.
Two case reports
The first report of neuroimages of two geriatric patients with head trauma was reported as normal. The images were re-evaluated due to persistent headache during the emergency observation. An overlooked interhemispheric subdural hematoma was diagnosed.
Why should an emergency physician be aware of this?
We aimed to contribute to the literature with these two cases, because an acute interhemispheric subdural hematoma may be overlooked on CT images, because it is in proximity to the falx and is usually a small lesion.
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