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Although cranial computed tomography is sensitive for detecting most subdural haematomas,those which are of the same density(isodense)as normal brain tissue may be difficult to identify in a scan.When the isodense haematoma is unilateral the presence of mass effect with a shift of the midline provides the diagnostic clue;with bilateral haematomas,however,the midline may remain undisturbed and the computed tomogram may be interpreted as either normal or showing generalized cerebral swelling of uncertain cause.We report on two patients with bilateral haematomas,both of whom were receiving anticoagulants,in whom the diagnosis was delayed even after computed tomography. |
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adverse drug reaction
anticoagulant,complications of
anticoagulant,treatment
CAT scan
CAT scan,abnormal
CAT scan,false negative
subdural hematoma
subdural hematoma,bilateral
subdural hematoma,isodense
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