Presentation
Alleged fall from 2-storey height building.
Patient Data
Age: 35 years
Gender: Male
From the case:
Coup-contrecoup traumatic brain injury
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comminuted fractures involving left temporal bone, extending to squamous and mastoid part of temporal bone
fracture of left occipitomastoid suture with pneumocranium
fracture of left frontal bone
right superior orbital wall fracture
acute subarachnoid hemorrhages at the right fronto-temporoparietal region
acute intraparenchymal hemorrhages at the right frontal and right temporal lobe
thin subdural hemorrhage involving the left cerebellum
Case Discussion
This case shows left sided fractures involving left temporal bone and left occipitomastoid suture (coup injury) with the contrecoup component being the right intracranial bleeds in the right fronto-temporoparietal region.