Extra-axial haemorrhages

Case contributed by Dr Ayush Goel

Presentation

Drunk driving (motorbike): road traffic accident

Patient Data

Age: 55 years
Gender: Male
CT
  • right temporal, biconvex extra-axial haemorrhage (max. depth 15mm): EDH
  • right temporo-occipital concavo-convex extra-axial haemorrhage (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)
CT

Annotated image

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 haemorrhages: Extradural haemorrhage (EDH), Subdural haemorrhage (SDH) and Subarachnoid haemorrhage (SAH).

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Case information

rID: 31303
Case created: 30th Sep 2014
Last edited: 13th Mar 2016
Inclusion in quiz mode: Included

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