Cerebral contusion with acute extravasation of blood

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Head injury

CT brain demonstrates a large left frontal hemorrhagic cerebral contusion with associated traumatic subarachnoid and subdural hemorrhage. 

CT angiography demonstrates a "spot sign" representing active extravasation of contrast and ongoing bleeding. 

 

Case Discussion

The patient went on to have a craniotomy and a bleeding cortical artery (torn) was identified and cauterised.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.