Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Spinal Intradural Extramedullary Schwannomas Mimicking Intramedullary Tumors: A Case Series.

Cureus·2026
Same author

Diffuse pediatric-type high-grade glioma, H3-wildtype and IDH-wildtype, of the adult cerebellum: a report of 2 cases.

Brain tumor pathology·2026
Same author

An arterial spin-labeled magnetic resonance imaging study of brain activation in patients with major depressive disorder during acupuncture stimulation: An exploratory study.

Psychiatry research. Neuroimaging·2026
Same author

[Preoperative Neuroimaging of Cerebellopontine Angle Tumors with an Emphasis on Techniques and Differential Diagnosis].

No shinkei geka. Neurological surgery·2025
Same author

Multiple extra-axial calcified lesions and tortuous vessels in a patient with meningioangiomatosis and executive dysfunction.

Radiology case reports·2025
Same author

Noninvasive dynamic vascular imaging: arterial spin labeling-based noncontrast magnetic resonance digital subtraction angiography for cerebral disease diagnoses.

Japanese journal of radiology·2025
Same journal

[Current State and Challenges of Digital Health in Japan].

No shinkei geka. Neurological surgery·2026
Same journal

[Emergent Surgery for Brain Tumors].

No shinkei geka. Neurological surgery·2026
Same journal

[Concepts of Cerebrospinal Fluid Management Based on a Paradigm Shift in CSF Dynamics:From the Third Circulation to the Glymphatic System and Meningeal Lymphatic Drainage].

No shinkei geka. Neurological surgery·2026
Same journal

[Management of Severe Traumatic Brain Injury].

No shinkei geka. Neurological surgery·2026
Same journal

[Management of Cerebral Vasospasm in Subarachnoid Hemorrhage].

No shinkei geka. Neurological surgery·2026
Same journal

[Perioperative Management of Spine and Spinal Cord Surgery].

No shinkei geka. Neurological surgery·2026
See all related articles

Related Experiment Video

Updated: Nov 11, 2025

Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model
09:14

Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model

Published on: June 18, 2021

2.6K

[Bilateral Chronic Subdural Hematomas].

Kazuhiro Tsuchiya1

  • 1Department of Radiology, Saitama Medical Center, Saitama Medical University.

No Shinkei Geka. Neurological Surgery
|March 25, 2021
PubMed
Summary
This summary is machine-generated.

Chronic subdural hematomas (SDHs) can appear isodense on CT scans and should not be missed, especially when bilateral. MRI is a reliable diagnostic tool for suspected cases, aiding in identifying intracranial hypotension and differentiating from other conditions.

More Related Videos

Double Direct Injection of Blood into the Cisterna Magna as a Model of Subarachnoid Hemorrhage
10:34

Double Direct Injection of Blood into the Cisterna Magna as a Model of Subarachnoid Hemorrhage

Published on: August 30, 2020

11.0K
A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
06:18

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury

Published on: March 26, 2019

9.3K

Related Experiment Videos

Last Updated: Nov 11, 2025

Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model
09:14

Pre-Chiasmatic, Single Injection of Autologous Blood to Induce Experimental Subarachnoid Hemorrhage in a Rat Model

Published on: June 18, 2021

2.6K
Double Direct Injection of Blood into the Cisterna Magna as a Model of Subarachnoid Hemorrhage
10:34

Double Direct Injection of Blood into the Cisterna Magna as a Model of Subarachnoid Hemorrhage

Published on: August 30, 2020

11.0K
A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
06:18

A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury

Published on: March 26, 2019

9.3K

Area of Science:

  • Neuroradiology
  • Neuroimaging
  • Neurology

Background:

  • Chronic subdural hematomas (SDHs) can present with isodensity on computed tomography (CT), potentially leading to missed diagnoses.
  • Bilateral SDHs require particular attention to avoid overlooking the condition.
  • SDHs and subdural hygromas are associated with intracranial hypotension and characteristic imaging findings.

Purpose of the Study:

  • To emphasize the importance of recognizing isodense chronic SDHs on CT.
  • To highlight the utility of MRI in diagnosing SDHs when CT is equivocal.
  • To discuss differential diagnoses and associated conditions like intracranial hypotension.

Main Methods:

  • Review of CT and MRI findings in patients with chronic subdural hematomas.
  • Correlation of imaging findings with clinical presentation, particularly in cases of intracranial hypotension.
  • Analysis of differential diagnoses for conditions mimicking chronic SDHs.

Main Results:

  • Isodense chronic SDHs on CT may be overlooked; routine checks for mass effect and cortical sulci in higher slices are recommended.
  • Magnetic resonance imaging (MRI) is a reliable tool for diagnosing SDHs when CT findings are unclear.
  • Intracranial hypotension presents with specific imaging features, and cerebrospinal fluid leakage may require specialized visualization techniques.
  • Differential diagnoses for chronic SDHs include dural metastases, granulomatous disease, and hypertrophic pachymeningitis.
  • Child abuse must be considered in pediatric cases of SDH.

Conclusions:

  • Radiologists and clinicians must maintain a high index of suspicion for isodense chronic SDHs on CT.
  • MRI is crucial for accurate diagnosis of SDHs, especially in complex cases or when CT is non-diagnostic.
  • Understanding the association between SDHs and intracranial hypotension aids in diagnosis and management.
  • Awareness of differential diagnoses and specific pediatric considerations (child abuse) is essential.