Presentation
Fall with headstrike. GCS 5.
Patient Data
Age: 30 years
Gender: Male
From the case:
Extradural hematoma - swirl sign
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Large right cerebral convexity extradural hematoma resulting in leftward midline shift, uncal herniation and brainstem compression. Heterogeneous appearance (swirl sign) suggestive of active bleeding. Early hydrocephalus and generalized cerebral edema.
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.