Presentation
Motorcycle accident. Posturing and blown pupil on exam.
Patient Data
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