Question:
A 76-year-old elderly patient presents in a confused state. He is on antihypertensive medication and on aspirin due to a previous heart attack. There is a minor trauma due to fall from a chair 3 weeks back. NCCT is done and shows the following. Diagnosis?
A 76-year-old elderly patient presents in a confused state. He is on antihypertensive medication and on aspirin due to a previous heart attack. There is a minor trauma due to fall from a chair 3 weeks back. NCCT is done and shows the following. Diagnosis?
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Chronic SDH often presents with subtle symptoms such as confusion and is typically seen in elderly patients after minor head trauma.
Updated On: Mar 24, 2025
- SAH (Subarachnoid Hemorrhage)
- EDH (Epidural Hematoma)
- Normal Study
- Chronic SDH (Subdural Hematoma)
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The Correct Option is D
Solution and Explanation
The presence of confusion in an elderly patient with a history of minor trauma and chronic symptoms is most consistent with chronic subdural hematoma (SDH). The imaging typically shows a crescent-shaped, hypodense area, which evolves over time, indicating a chronic bleed.
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