Bilateral Biconvex Frontal Chronic Subdural Hematoma Mimicking Extradural Hematoma

Abstract

Chronic subdural hematoma (CSDH) is one of the most common clinical entities encountered in daily neurosurgical practice. The advent of computed tomography (CT) has made a major impact on the radiological diagnosis of CSDH. Although unilateral chronic isodense subdural hematomas as a result of indirect signs of a space-occupying lesion are easily recognizable on CT, bilateral CSDH may cause considerable difficulty, particularly when it is biconvex in shape as discussed in the present case. A judicious use of magnetic resonance imaging will help in making the diagnosis and for the management of such lesions.