Extra-axial hemorrhages

Case contributed by Ayush Goel
Diagnosis certain

Presentation

Drunk driving (motorbike): road traffic accident

Patient Data

Age: 55 years
Gender: Male
ct
  • right temporal, biconvex extra-axial hemorrhage (max. depth 15mm): EDH
  • right temporo-occipital concavo-convex extra-axial hemorrhage (max. depth 4mm): SDH
  • hyperdensity in the right cerebral sulcal spaces (most easily demonstrable in the sylvian fissure): SAH
  • right temporal fracture (at the anterior margin of EDH)

Annotated image

ct

Annotations:

  • red arrow: EDH
  • brown arrow shows how EDH respects the suture margins
  • yellow arrow points at SAH
  • green arrow: SDH
  • blue arrow shows the fracture

Case Discussion

The case demonstrates all three types of extra-axial hemorrhages: Extradural hemorrhage (EDH), Subdural hemorrhage (SDH) and Subarachnoid hemorrhage (SAH).

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