Another person gets jumped…

March 6, 2013

CT, Head, Head, Trauma

…and another head bleed!

SDH with midline shift 2SDH with midline shift 1

This is a subdural hematoma with “midline shift.”  I posted late last year on the difference between subdural and epidural blood characteristics.  See GSW Head for the prior post. 

This is a good example of midline shift.  As you can see above the falx (linear hyperattenuated structure at midline) is bowing away from the subdural hematoma.  It is also compressing the ventricles (seen best on the second image).  What does this mean?  It means the subdural is taking up enough space in the closed intracranial vault to put pressure on the brain.  We don’t like pressure on the brain!  This can cause herniation.  Herniation is bad for one’s health.  Call Neurosurgery or get them to a hospital with neurosurgery capability STAT.

Author:  Russell Jones, MD

About emrems411

EMREMS: Radiology in Emergency Medicine

View all posts by emrems411

Subscribe to EMREMS

Subscribe to our RSS feed and social profiles to receive updates.

One Comment on “Another person gets jumped…”

  1. Matt Skalski Says:

    I just discovered your site today. It’s a great resource and thank you for sharing the case! Feel free to use my medical illustrations in your posts:

    You are also welcome to post cases on if you don’t already. 🙂


Leave a Reply

Please log in using one of these methods to post your comment: Logo

You are commenting using your account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: