Cerebral haemorrhagic contusion

Case contributed by Dr Bruno Di Muzio


Patient with history of fall and head trauma.

Patient Data

Age: 90 years
Gender: Female

CT Brain

CT shows subarachnoid haemorrhage that extends into the brain parenchyma on the floor of the anterior cranial fossa. Fracture of the occipital bone without bone misalignments of the board. Coronal reformatting CT shows blood in the tent of the cerebellum and within the lateral ventricles.


MRI Brain

Selected images of MRI study show frontal bilateral subarachnoid haemorrhage.  

Case Discussion

A cerebral haemorrhagic contusion is a type of intracerebral haemorrhage and is common in the setting of significant head injury.

Although not often used merely for the assessment of superficial contusions, MRI is far more sensitive to small contusions (not in this case), especially when T2* sequences are used (e.g. gradient echo, SWI).

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Case information

rID: 14002
Case created: 11th Jun 2011
Last edited: 12th Oct 2017
Tag: trauma
Inclusion in quiz mode: Included

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