35 year-old construction worker. Wood fell on head. Vomiting and pain.
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Moderate sized frontotemporal acute extra-dural haematoma causing ventricular effacement and midline shift.
Underling undisplaced frontotemporal skull vault fracture.
No contracoup injury.
Textbook example of an extra-dural haematoma.
Lentiform or 'lemon' shaped and with an underlying fracture as is nearly always the case.