Following a sudden impact in an accident, the 34-year-old race car driver becomes unconscious and is admitted to the hospital. A CT scan is performed, and a right space-occupying lesion is noted (Fig. 11-1). What is the most likely diagnosis?

Acute subdural hematomas occur most commonly when violent accelerations or deceleration injuries of the head cause tearing of the bridging veins within the subdural potential space. They generally imply a much more severe injury to the brain itself than in the case of their epidural counterpa. For this reason, they are associated with cerebral contusions in over 30% of cases.