PMC3108447_01
Several days into the course of his rehabilitation, patient 1 developed a sudden decrease in his mental status without any trauma. An emergent head CT showed a new acute SDH with a midline shift (a and b). The patient was immediately taken to the operating room, a ventriculostomy catheter was placed, and the subgaleal and the subdural hematomas were evacuated (c and d)
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F1
The patient was immediately taken to the operating room, a ventriculostomy catheter was placed, and the subgaleal and the subdural hematomas were evacuated [Figure 1c, d]. The patient returned to his baseline neurologic status within days and continued his rehabilitation.
PMC3108447_02
For patient 2, on admission, a head CT showed a 2.2-cm left frontal acute SDH (a) He received platelet transfusion and underwent an urgent hematoma evacuation (b) His use of fondaparinux medication was not made known to us until the following day. A follow-up CT scan (c) showed that he had developed a recurrent subdural hemorrhage, and he required a repeat evacuation within 24 hours of the initial surgery
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F2
A head CT showed a 2.2-cm left frontal acute SDH [Figure 2a]. He received platelet transfusion and underwent an urgent hematoma evacuation [Figure 2b]. On the follow-up CT scan [Figure 2c], he developed a recurrent subdural hemorrhage and required a repeat evacuation within 24 hours of the initial surgery.