Major head trauma

Case contributed by Dr Andrew Dixon

Presentation

Fall from roof onto head.

Patient Data

Age: 60
Gender: Male

Trauma Radiology Course  Edinburgh June 11  |  Melbourne July 9  |  Video On-Demand August 1

CT

Extensive calvarial, skull base and facial fractures. Traumatic subarachnoid and intraventricular haemorrhage. Scattered petechial intraparenchymal haemorrhages including within the midbrain consistent with shearing injury. Cerebral oedema with loss of grey-white differentiation, on the left in particular, possibly due to dissection of the left ICA at the skull base due to fractures. There is a nice example of the 'white cerebellum sign' of cerebral oedema which is an extremely poor prognostic feature. This patient died shortly after. 

Case Discussion

A case of non-survivable head trauma with established diffuse cerebral oedema and petechial brainstem haemorrhages due to shearing injury (diffuse axonal injury). 

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Case information

rID: 32393
Case created: 25th Nov 2014
Last edited: 19th May 2016
Inclusion in quiz mode: Included

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