Extradural hemorrhage with subgaleal hematoma

Case contributed by Bruno Di Muzio
Diagnosis certain

Presentation

Fall from standing height with head trauma

Patient Data

Age: 65 years
Gender: Female

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Right longitudinal fracture of the occipital bone, no misalignment of the bone plates.

In both faces of fractured bone, there is an acute hematoma, an epidural and a subgaleal one.

Subarachnoid hemorrhage is also noted extending through the tentorium and over the left frontal pole (contrecoup injury).

Case Discussion

An extradural hematoma is a collection of blood which forms between the inner surface of the skull and outer layer of dura.

subgaleal hematoma describes bleeding in the potential space between the periosteum and the galea aponeurosis.

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