Extradural haematoma

Case contributed by Dr Henry Knipe

Presentation

Fall with headstrike. GCS 5.

Patient Data

Age: 30 years
Gender: Male
CT

Large right cerebral convexity extradural haematoma resulting in leftward midline shift, uncal herniation and brainstem compression. Heterogeneous appearance (swirl sign) suggestive of active bleeding. Early hydrocephalus and generalised cerebral oedema. 

Case Discussion

There was also an undisplaced fracture through the squamous temporal bone (not well seen on thick slices). The patient went for urgent craniotomy and evacuation. 

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Case information

rID: 46346
Case created: 1st Jul 2016
Last edited: 31st Dec 2016
Inclusion in quiz mode: Included

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