Extradural haemorrhage

Case contributed by Dr Bruno Di Muzio

Presentation

MVA, he patient was hiding a motorcycle.

Patient Data

Age: 30-year-old
Gender: Male

CT Brain

Modality: CT

Non-contrast CT Brain showing an extensive fracture of the frontal and right temporal bone with minimal displacement of the inner diploe in the frontal region (1,8mm). There is an associated right frontotemporal extradural haematoma that causes mass effect over the adjacent brain and midline shift. Small foci of cerebral contusion are seen on the right frontal lobe. A subgaleal haematoma is also present along the right frontotemporal portion of the calvaria. 

Case Discussion

This case shows the classic appearance of an acute extradural haemorrhage in a  young patient involved in a head strike. This haematoma represents a collection of blood that forms between the inner surface of the skull and outer layer of the dura (which is the periosteum), it is a subperiosteal haematoma located on the inside of the skull. 

The patient was submitted to a prompt neurosurgery evacuation of the haematoma. 

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Case Information

rID: 40731
Case created: 1st Nov 2015
Last edited: 1st Nov 2015
Inclusion in quiz mode: Included

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