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Cerebral hemorrhagic contusion with subdural and subarachnoid hemorrhage

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Fall from 3 meters.

Patient Data

Age: 50 years
Gender: Male

CT demonstrates extensive left frontal and to a lesser degree left temporal lobe hemorrhagic contusions with overlying acute subdural and subarachnoid blood. 

Extraconal hemorrhage on the right results in proptosis. Bone window demonstrates extensive undisplaced occipital fractures.

CT performed the following day demonstrates increase in the size of the contusions and positive mass effect. 

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