Temporal bone fracture (otic capsule sparing)

Case contributed by Ryan Thibodeau
Diagnosis certain

Presentation

Motorcycle accident. Posturing and blown pupil on exam.

Patient Data

Age: 25 years
Gender: Male

There is diffuse loss of gray-white matter differentiation involving both cerebral hemispheres, concerning for anoxic brain injury. There is associated effacement of the lateral ventricles.

Case Discussion

This is a case of an otic-sparing temporal bone fracture following a motorcycle accident. There are several associated traumatic findings, including multicompartment intracranial hemorrhage and diffuse anoxic brain injury.

Neurosurgery was consulted and determined there was a low probability of recovery, even with surgical intervention. With the family's consent, aggressive resuscitative measures where stopped.

Co-author:
Ekaterine Sazon

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