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Subdural Hematoma: A Rare Presentation of a Convexity Meningioma

Published online by Cambridge University Press:  20 October 2014

David Pelz
Affiliation:
Division of Neurosurgery, Department of Clinical Neurological Sciences, Western University, London, Ontario, Canada
Adrian B. Levine
Affiliation:
Division of Neurosurgery, Department of Clinical Neurological Sciences, Western University, London, Ontario, Canada
Keith W. MacDougall*
Affiliation:
Division of Neurosurgery, Department of Clinical Neurological Sciences, Western University, London, Ontario, Canada
*
Division of Neurosurgery, Department of Clinical Neurological Sciences, Western University, 339 Windermere Road, London Ontario, N6A 5A5, Canada. Email: keith.macdougall@lhsc.on.ca.
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A 69-year-old male presented to a peripheral emergency department with a several day history of increasing confusion and headache. On admission, his Glasgow Coma Scale (GCS) score was 10 (E3 M6 V1). He was mute but would obey commands intermittently. Cranial nerve exam was normal and there was no evidence of weakness. A computed tomogram (CT) head (Figure 1) showed a chronic subdural hematoma with midline shift, as well as a mass within the left frontal region that appeared consistent with a convexity meningioma seen on magnetic resonance imaging (MRI) two years prior (Figure 2). The patient was not on any blood thinners and had no history of falls. Past medical history also included hypertension and prostate cancer.

Type
Neuroimaging Highlight
Copyright
Copyright © The Canadian Journal of Neurological 2014

References

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