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SYB Case 1

SYB Case 1. 75 year old male with recent history of subdural hematoma presents with increasing left arm weakness Noncontrast CT done for evaluation. Differential. Air introduced iatrogenically Gas producing organism within an abscess. Findings. Evidence of craniotomy (to evacuate hematoma)

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SYB Case 1

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  1. SYB Case 1

  2. 75 year old male with recent history of subdural hematoma presents with increasing left arm weakness • Noncontrast CT done for evaluation

  3. Differential • Air introduced iatrogenically • Gas producing organism within an abscess

  4. Findings • Evidence of craniotomy (to evacuate hematoma) • Subdural Hematoma • Subdural and subcutaneous air • Effaced right fronto-temporal sulci • Slight right to left midline shift

  5. Discussion • Intracranial air (pneumocephalus) only seen on CT or X-ray, not MRI • Clostridium perfringens is the most common gas-producing bacteria found in brain abscesses

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