Cerebral haemorrhagic contusion

Case contributed by Dr Bruno Di Muzio

Presentation

Fall with head trauma.

Patient Data

Age: 90 years
Gender: Female
CT

CT Brain (selected images)

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. Coronal reformatting CT shows blood in the tent of the cerebellum and within the lateral ventricles.

MRI

MRI Brain (selected image)

Selected images of MRI study show bilateral frontal contusions and subarachnoid haemorrhage.  

Case Discussion

Cerebral haemorrhagic contusion is a type of intracerebral haemorrhage and is common in the setting of significant head injury. This patient probably had a coup-contrecoup mechanism of injury. 

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Case information

rID: 14002
Published: 11th Jun 2011
Last edited: 16th Jul 2018
Tag: trauma
Inclusion in quiz mode: Excluded

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