Assessment of Subdural hematoma: Video, Anatomy & Definition | Osmosis

Question

A 30-year-old woman is brought to the emergency department following a fall during a climbing trip. Her partner, who accompanied her, reports that the patient fell from a 4-meter height and hit her head. En route to the hospital, the patient is comatose and unresponsive. Glasgow Coma Score is 3. She is sedated and intubated. On arrival, her temperature is 36.0&#176;C (96.8&#176;F), pulse is 43/min, respirations are 7/min and irregular, and blood pressure is 200/70 mmHg. On physical examination, her arms are stiff and bent, with clenched fists and outstretched legs. Both pupils are fixed and dilated. A non-contrast CT is obtained and shows a large biconvex-shaped lesion. Which of the following additional findings is most likely to be present? &#160;

Accepted Answer

Swelling of the optic disk

Answer

Xanthochromia in cerebrospinal fluid &#160;

Answer

Rupture of bridging veins

Answer

Multiple small lesions within the gray-white junction. &#160;

Answer

Unilateral facial paralysis

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Subdural hematoma

Pathology

Nervous system