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Solution to Picture of the week #4, and this week’s image. October 9, 2007

Posted by tomography in Nuclear Medicine.
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The answers to last week’s questions were:

  • Cranial CT scan.
  • Large acute subdural hematoma in the left temporal lobe (hyperdense region). Compressed ventricle on the side of trauma. Midline shift towards the opposite hemisphere.
  • This is a child’s CT scan, and a simple trauma to the head can cause rupturing of the cranial veins. Clinicians separate “the battered child syndrome,” where acute and chronic subdural hematomas occur side by side due to repeated shaking of the head. Here is the link to another great website.

Another high risk population to subdural hematoma are chronic alcoholists and the elderly. In their case, due to shrinking of the brain, the veins are exposed to a larger extent, and even light trauma can cause subdural hematoma. From the clinicians point of the view, the problem with subdural hematoma, in contrast to epidural hematoma, is that the symptoms are not so severe. It usually causes abnormal behavior or personality disorder, that can steer the diagnosis in the wrong direction.

And on to this weeks’ image. First two x-rays and then a CT scan of the same patient.

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Comments»

1. dopaminer - October 11, 2007

Emphysemás bullák a tüdőkben.
Mit nyertem? 🙂

2. zslog - October 11, 2007

Bullosus emphysema. Bár ez a kórkép ritkábban fordul elő a kp. vagy alsó lebenyekben, leginkább a felsőkben észlelhető. Az előző feladványt is majdnem jól megfejtettem 🙂

3. tomography - October 11, 2007

Since it is not yet Tuesday, I cannot tell You whether your solutions are correct or not, but check back here on the usual day, and you’ll find all the answers. Prizes are not yet offered for correct solutions, but we are working on that as well, so hold on guys! For now all I have is a couple pens and notepads thanks to Philips Medical, and I’d be more than glad to share those with You. 🙂

4. ANN MEADOWS - March 13, 2008

IF SOMEONE FELL ON THE 22 OF THE MONTH HIT THEIR HEAD. RECIEVING A BLACK EYE, HEMATOMA TO LEFT FOREHEAD, BRUSING AROUND THE EYE. NOT TAKEN TO HOSPITAL AGE 78. FALLS AGAIN ON 30TH OF MONTH AND THEN ON THE FIRST OF MONTH. BECAUSE UNCONSCIOUS, LATHARTHIC VOMITING. COULD THE FIRST FALL HAVE CAUSED THE ACUTE MASSIVE SUBDURAL HEMATOMA.
WHICH WASDIAGNOSED ON THE FIRST. IS THERE ANY OTHER CASES SUPPORT MY THEORY.

5. tomography - April 8, 2008

Ann, since we are not yet medical doctors, only students, we cannot provide you any medical information nor suggest you where to look for it. Please contact your doctor or medical care provider!
Thank you!
Sincerely,
András and Imre


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