Presentation

Neuro-imaging

Features of subdural hematoma

Ophthalmoscopy

Skeletal screening

Total length of stay

Intensive care -duration

Neurosurgery Intervention

Case 1

•  Seizure

•  Alteration of the state of consciousness

•  Decreased mobility of the left upper limb

CT

•  Subdural hematoma

•  Sub-acute

•  Right cerebral convexity, interhemispheric, posterior fossa, bilateral

•  Bilateral retinal hemorrhage

•  No fracture

•  52 days

•  No

•  No intervention

Case 2

•  Seizure

•  Irritability

•  Eating difficulties

•  Change in state of consciousness

CT + MRI

•  Subdural hematoma

•  Left parietal fracture

•  Hygroma

•  Cerebral edemae

•  Ischemia

•  Sub-acute/chronic

•  Interhemispheric, bilateral cerebral convexity

•  Left retinal hemorrhage

•  No fracture

•  46 days

•  14 days

•  No ventilation needed

•  Ventricular shunt + surgical drainage (due to hydrocephalus) 

Case 3

•  Change in state of consciousness

•  Generalized hypotonia

•  Thoracic ecchymosis

•  Vomit

CT + MRI

•  Subdural hematoma

•  Sub-arachnoid hemorrhage

•  Left fronto-temporo-parieto-occipital infarction

•  Acute

•  Cerebral convexity, interhemispheric

•  Without changes

•  No fracture

•  65 days

•  8 days

•  Needing ventilation (6 days)

•  Craniotomy + hematoma drainage

Case 4

•  Seizure

•  Vomit

•  Eating difficulties

CT + MRI

•  Subdural hematoma

•  Sub-arachnoid hemorrhage

•  Differet evolution times

•  Brain convexity

•  Bilateral retinal hemorrhage

•  No fracture

•  23 days

•  7 days

•  No ventilation needed

•  No intervention

Case 5

•  Seizure

•  Coma

CT + MRI

•  Subdural hematoma

•  Cerebral edemae

•  Hygroma

•  Ischemia

•  Acute

•  Brain convexity

•  Interhemispheric

•  Bilateral

•  Bilateral retinal hemorrhage

•  No fracture

•  112 days

•  24 days

•  Needing ventilation (10 days)

•  Surgical drainage (hygroma

Case 6

•  Left parietal swelling

CT + MRI

•  Subdural Hematoma

•  Subarachnoide hemorrhage

•  Left parietal fracture

•  Cerebral edemae

•  Brain contusion

•  Acute

•  Multiple locations

•  Left retinal hemorrhage

•  Fracture: Distal metaphysis of the left radius

•  46 days

•  19 days

•  No ventilation needed

•  Duroplasty + left parietal osteoplasty

Case 7

•  Seizure

•  Hypotonia

CT + MRI

•  Subdural Hematoma

•  Subarachnoide hemorrhage

•  Left parietal vein thrombosis

•  Sub-acute/Chronic

•  Interhemispheric

•  Different evolution Times

•  Bilateral retinal hemorrhage

•  No fracture

•  15 days

•  7 days

•  Needing ventilation

•  No intervention