Cerebral hemorrhagic contusion

Case contributed by Bruno Di Muzio
Diagnosis certain

Presentation

Fall with head trauma.

Patient Data

Age: 90 years
Gender: Female

CT Brain (selected images)

ct

CT shows subarachnoid hemorrhage 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 Brain (selected image)

mri

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

Case Discussion

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

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