Extensive subgaleal hematoma

Case contributed by Bruno Di Muzio
Diagnosis certain

Presentation

Fall from height.

Patient Data

Age: 85 years
Gender: Female
This study is a stack
Axial
non-contrast
This study is a stack
Axial bone
window
This study is a stack
Coronal
non-contrast
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Info

Extensive left frontotemporal subgaleal hematoma (hyperattenuating content) associated with soft tissues edema in adjacent face, as well a small intraparenchymal subcortical contusion in the left frontal lobe.

No associated skull fractures. 

15 days after

ct
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Info

CT scan done 15 days later showed an impressive reduction/absorption of the subgaleal hematoma. The intraparenchymal hemorrhage (contusion) was resolved, remaining a small focus of hypoattenuation.

Case Discussion

A subgaleal hematoma describes bleeding in the potential space between the periosteum and the galea aponeurosis.

A cerebral hemorrhagic contusion is a type of intracerebral hemorrhage and is common in the setting of significant head injury.

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