Diffuse axonal injury
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Note the multiple sites of oedema and haemorrhage, involving the brain stem and corpus callosum as well as subcortical white matter and left cerebral peduncle. High FLAIR signal is also seen in the dorsal midbrain. EVD insitu.
Diffuse axonal injury can be subtle on CT but have devastating consequences for the patient. This is a case of grade III injury (involvement of brainstem) and carries a poor prognosis.