Cerebral contusion with acute extravasation of blood

Case contributed by A.Prof Frank Gaillard

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.

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Case information

rID: 13523
Published: 18th Apr 2011
Last edited: 23rd Oct 2018
Tag: trauma
Inclusion in quiz mode: Included

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