Subdural Hematoma

Figure 1

Axial FLAIR brain image showing bilateral subdural collections/hematomas.

Case overview

This case highlights the vital role of whole body MRI (WB-MRI) in early detection of asymptomatic diseases, which can become serious if not treated promptly.

Patient History

A 72-year-old male came to Prenuvo for a proactive WB-MRI screening after a recent trip.
He reported no symptoms or specific concerns.

Findings

Two bilateral subdural hematomas (≤10mm) were found. (Figure 1 and Figure 2)
No brain herniation or midline shift was noted. An excess of pressure from surrounding fluid can cause unwanted movement of the brain.

Figure 1

Figure 2

Coronal T1-weighted brain image showing bilateral subdural collections/hematomas. Signal characteristics on the right-sided collection suggest acute/subacute components, and the left-sided collection has a more chronic appearance.

Figure 3

Figure 4

Figure 5

Figure 1

Figure 2

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Figure 4

Figure 5

Follow-up care

A follow-up driven by neurological concerns showed that the fluid collections were growing larger. The patient promptly underwent two procedures: a burr hole drainage to remove the excess fluid, and a middle meningeal artery embolization to prevent further hematomas. These treatments stabilized the patient’s condition and averted potential life-threatening complications.

Figure 1

Figure 2

Figure 3

Figure 4

How the Prenuvo scan impacted patient care:

The WB-MRI scan detected two previously unknown subdural hematomas. This condition can silently progress and become serious if not treated. Severe complications such as neurological deficits or brain herniation can occur.
WB-MRI provided a safe radiation-free alternative to a brain CT scan
Due to the patient’s asymptomatic presentation, it is unlikely that the traditional healthcare system would have discovered a silent hematoma, thus increasing the risk of a life-threatening outcome.

Figure

References

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