Intraventricular bleed with skull base fracture

Case contributed by Dr Hani Salam

Presentation

23 year old male victim of MVA presented with GCS of 10

Case Discussion

Notice is made of intraventricular hemorrhage without hydrocephalus. Multiple contusions are demonstrated mainly at the right cerebral hemisphere.

Right-sided frontal bone mildly displaced fracture associated with a small adjacent extra-axial bleed is seen. The fracture line is extending through the right orbital roof and to the base of the skull. Associated right periorbital hematoma is seen. Another calvarial fracture is noted at the left frontal bone which is undisplaced. However, the fracture line is also extending into the left orbital roof to the base of the skull.

Mild brain edema is seen. No herniation is demonstrated. No significant midline shift is seen.

Hemosinus is seen with fluid level in the right maxillary as well as the sphenoid sinuses.

Right parietal subcutaneous laceration is seen extending into the calvarial surface. Left frontal subgaleal hematoma is seen with multiple air locules and multiple tiny hyperdensities likely representing foreign bodies.

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Case Information

rID: 10312
Case created: 2nd Aug 2010
Last edited: 13th Oct 2015
Inclusion in quiz mode: Included

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