Acute inter-hemispheric subdural hematoma in a kabaddi player: A comment.

Sir,

I had read with great interest the recent publication on acute inter-hemispheric subdural hematoma in a kabaddi player.[1] I have some comment on this work. First, the image as shown in Figure 1 in the original article has been described as inter-hemispheric subdural hematoma. According to me differential can be partial volume of straight and sagittal sinuses, commonly seen as hyperdense in plain CT scan imaging. Figure 1 shows plain CT scan of the brain of two different patients; partial volume of the sinuses can be seen there. Second, the posterior portion of the image in figure in the original article appears as inverted Y appearance when it is following the course of transverse sinuses. Subdural hematoma will never or rarely have inverted Y-shaped most posterior end. Whether an MRI with angio- and veno-sequence was done to rule out above condition is not clear, and no remark has been done on follow-up imaging whether it was done or not.

Figure 1

Plain CT scan of the brain of two different patients shows partial volume of sagittal and straight sinuses as hyperdensity in the posterior interhemispheric fissure.