Trauma and intraparenchymal cerebral haemorrhage

Case contributed by Prof Peter Mitchell

Presentation

Trauma - fall and loss of consciousness requiring intubation.

Patient Data

Age: 59
Gender: Female

There is an acute intracerebral haemorrhage in the right temporal lobe measuring 3.7 x 2.6 cm with surrounding vasogenic oedema.

There is also a 1.2 by 0.7 cm focus of acute intracerebral haemorrhage in the left temporoparietal lobe, surrounded by vasogenic oedema.

Acute right hemispheric extra-axial haemorrhage, with a maximal depth of 5 mm, represents subdural haemorrhage.

There is significant associated mass effect, with diffuse cerebral sulcal effacement, leftward midline shift of 1.3 cm and bilateral cerebellar tonsillar herniation.

There is partial effacement of the right lateral ventricle and complete effacement of the third ventricle. The temporal horn of the left lateral ventricle is prominent. The basal cisterns are effaced.

The right sigmoid sinus appears hyperdense.

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Case information

rID: 33475
Case created: 14th Jan 2015
Last edited: 13th May 2016
Inclusion in quiz mode: Included

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