How to distinguish confusing clinical entities; acute subdural hematoma and enhanced subdural effusions after an endovascular procedure?

Junki Sogano, Katsuhiro Mizutani, Shunsuke Shibao, Hideyuki Tomita

研究成果: Article査読

抄録

Enhancing subdural effusions (SDEs) after angiography may imitate acute subdural hematoma (ASDH), and differentiation between these two clinical entities is sometimes confusing. We present a case of enhancing SDE mimicking ASDH after an endovascular procedure for head trauma. Although dual-energy CT (DECT) might be an ideal tool for this situation, it is not available in every hospital. In addition, the standard protocol to distinguish these two clinical entities has not been well established. We demonstrate that the comparison of CT attenuation values of the dural sinus and subdural collection is key to differentiation, and comprehensive radiological and clinical evaluation based especially on the kinetics of contrast agents should be carefully considered.

本文言語English
論文番号101335
ジャーナルInterdisciplinary Neurosurgery: Advanced Techniques and Case Management
26
DOI
出版ステータスPublished - 2021 12月
外部発表はい

ASJC Scopus subject areas

  • 外科
  • 臨床神経学

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