case_images: PMC11380894_01
case_images: (a and b) Axial view and Sagittal view depicting a hematoma in the frontal lobe observed 1 month following a road traffic accident.
case_images: SNI-15-304-g001.jpg
case_images: PMC11380894_01_SNI-15-304-g001.jpg
case_images: F1
case_images: Upon inquiry, it was disclosed that the patient had been involved in a road traffic accident (RTA) 1 month prior, resulting in a mild contusion and right frontal lobe hematoma, which was managed conservatively [Figure 1a and b].
case_images: (a and b) Bilateral acute on chronic subdural hematomas with midline shift and subfalcine herniation towards the right.
case_images: SNI-15-304-g002.jpg
case_images: PMC11380894_01_SNI-15-304-g002.jpg
case_images: F2
case_images: However, his GCS deteriorated rapidly, prompting a swift computed tomography (CT) scan, which revealed bilateral acute on chronic subdural hematomas (SDHs) with midline shift and subfalcine herniation toward the right side of the brain [Figure 2].
case_images: (a and b) Postoperative imaging demonstrating a recurrent subdural hematoma with a midline shift of 9.5 mm.
case_images: SNI-15-304-g003.jpg
case_images: PMC11380894_01_SNI-15-304-g003.jpg
case_images: F3
case_images: SDH with a midline shift of 9.5 mm [Figure 3]. Subsequently, the patient underwent a second surgery to evacuate the newly formed SDH, during which an extradural hematoma was discovered beneath the bone flap.
case_images: (a and b) Postoperative images illustrating a new intraparenchymal hematoma alongside reduced volume of the previous recurrent subdural hematoma and reduced midline shift following the second operation.
case_images: SNI-15-304-g004.jpg
case_images: PMC11380894_01_SNI-15-304-g004.jpg
case_images: F4
case_images: A repeat CT scan revealed a new intraparenchymal hematoma in the left frontal region, with a reduced SDH volume and midline shift [Figure 4], aligning with the second surgery.