Presentation
Fall while intoxicated. Ongoing confusion. No known significant medical history.
Patient Data
Multiple hemorrhagic cerebral contusions (left frontal and temporal lobes)
Small rim of subdural hemorrhage over right frontal and temporal lobes, and left cerebral convexities well as left tentorium cerebelli with associated focal mass effects but no transtentorial herniation or midline shift.
Nondisplaced right temporal bone fracture.
Annotation showing small undisplaced linear fracture through right temporal bone.
Case Discussion
This patient attended after a series of falls. He displayed ongoing confusion and behavioral change while rehabilitating in hospital. The case was discussed with neurosurgery but was managed conservatively.
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Thanks to Dr Gilly Fleming for presenting this case.
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