Depressed skull fracture with extradural haematoma
Hit in face by flying object.
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Depressed left skull fracture (up to 4 mm) of the squamous left temporal bone and diastasis of the squamous suture and inferior extension into the greater wing of sphenoid. Left anterior cranial floor/orbital roof fracture. Left superolateral orbital rim fracture with mild diastasis of the left zygomaticofrontal suture. No extension into the petrous temporal bone.
Left frontal and temporal extradural haematoma. Left frontal parenchymal contusion. Petechial haemorrhages in the left temporal lobe. Tiny locule of pneumocephalus. Rightward midline shift. No uncal or subfalcine herniation. No hydrocephalus.
Typical appearances of extradural haematoma and depressed skull fracture. The patient required urgent neurosurgery, undergoing craniectomy, clot evacuation, and cranioplasty.