Presentation
Fall from height.
Patient Data
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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.
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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.