DOI: https://doi.org/10.36347/sjmcr.2025.v13i11.014

Pages: 2725-2730

Subdural hematoma is a common disease in neurosurgery with specific radiological characteristics. Organized subdural hematoma, albeit less common, was nonetheless reported in literature. In this article we report the case of a misdiagnosed organized subdural hematoma mimicking an epidural hematoma which was observed in an 8-year-old patient that underwent VP shunt for hydrocephalus at 40 days old, complicated with meningitis and who suffered a head trauma 4 years later, presenting with a sudden generalized tonic clonic seizure for which she was stabilized under adequate treatment. A CT scan performed after revealed a biconvex-shaped hypodense mass along the left temporoparietal cerebral convexity, which was interpreted first as a chronic epidural hematoma. As such, and taking in context the clinical situation of the patient, a craniotomy was performed during which no epidural hematoma was discovered and an OSDH was located after incising the dura. A total evacuation was performed and the patient had fully recovered and improved. Thus, it is essential to bring forward such cases where radiological imagery can be misleading and to put forward detailed differential characteristics between OSDH et EDH through more radiological studies.