1 Weigel R

Schmiedek P

Krauss JK Outcome of contemporary surgery for chronic subdural haematoma: evidence based review.

Figure CT scans of the head Show full caption (A) Preoperative CT showing chronic subdural haematoma (maximum width 20 mm, arrows) with midline shift and a clot (asterisk) at the tip of the right temporal lobe. (B) Postoperative scan showing resolution of the subdural haematoma and an arachnoidal cyst (asterisk) at the tip of the temporal lobe.

A 50-year-old man presented to our neurosurgical department in January, 2013, with a 2 week history of constant worsening headache affecting the whole head. He had no history of head trauma, but reported headbanging at a Motörhead concert 4 weeks previously. His medical history was unremarkable and he denied substance misuse. Neurological examination and laboratory studies, including coagulation screening, were normal. Cranial CT showed right-sided chronic subdural haematoma with pronounced midline shift ( figure ). He underwent burr hole evacuation of the haematoma and closed system subdural drainage for 6 days after surgery.His headache resolved and he was discharged home after 8 days.