Hit on the head by a heavy falling object.
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Large left-sided extradural hematoma is noted crossing the suture line.
Associated midline shift.
An underlying linear temporoparietal bone fracture which traverses the coronal suture.
Intracranial hemorrhage is common, a large proportion occurring following trauma.
It is one of the commonest causes for a CT to be performed out of office hours.
Extradural hematoma is a life-threatening, but entirely salvageable pathology providing prompt diagnosis and surgery is undertaken.
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