Diagnosing the true etiology of a subdural fluid collection is challenging in the
acute setting of an emergency department (ED). In case of a subdural fluid collection
at computed tomographic imaging, the possibility of a subdural hematoma will be considered
at once. However, other causes such as subdural empyema and dural metastases with
pachymeningitis hemorrhagica must be kept in mind. Especially when there is a medical
history of recent sinusitis or malignancy. We describe 3 patients who presented to
the ED with a history of progressive headache, aphasia, and a right-sided hemiparesis
in whom a isodense subdural fluid collection was demonstrated with computed tomographic
imaging.
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Article Info
Publication History
Published online: February 04, 2013
Accepted:
October 2,
2012
Received:
September 29,
2012
Footnotes
☆Conflict of Interest: None.
Identification
Copyright
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
