Post-traumatic diffuse cerebral edema

Case contributed by Ayaz Hidayatov
Diagnosis certain

Presentation

Comatous patient after motor vehicle accident (MVA).

Patient Data

Age: 25 years
Gender: Male

Noncontrast CT shows diffuse hypodensity of the bilateral cerebral hemispheres with loss of white-gray matter differentiation suggesting diffuse cerebral edema. The lateral and third ventricles are slit-like, there is diffuse effacement of the cerebral sulci (pseudo-SAH).

No intraparenchymal or subdural hematoma was noted.

Posterior fossa and brainstem are unremarkable.

Case Discussion

This case shows classical CT findings of diffuse brain edema.

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