Diffuse axonal injury

Case contributed by Dr Craig Hacking

Presentation

GCS 3 post MVA

Patient Data

Age: 55-60 years
Gender: Female
CT

Bilateral traumatic subarachnoid haemorrhage, predominantly at the vertex but extending to the central sulci and pooling in the interpedencular fossa. Multiple small right temporal contusions. Right cerebellar hemisphere contusion. Corpus callosum and left internal capsule petechial haemorrhages. Features in keeping with DAI. Mild thickening of the falx cerebri, representing a likely small subdural haematoma.

Right scalp thickening and haematoma with soft tissue defect frontally and multiple hyperdense foreign bodies. Right periorbital haematoma.

No hydrocephalus or pneumocephalus. No skull fracture. Partial opacification of the paranasal sinuses.

Case Discussion

Some of the classic sites for haemorrhage in DAI.

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Case information

rID: 39125
Case created: 20th Aug 2015
Last edited: 10th Oct 2017
Tag: trauma
Inclusion in quiz mode: Included

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