Traumatic brain injury (teaching)

Case contributed by UoE Radiology

Presentation

Head injury in motor vehicle collision (MVC). Reduced level of consciousness.

Patient Data

Age: 30
Gender: Male
Modality: CT

WIthin the right frontal and temporal lobes are multiple foci of increased density with surrounding halos of low density. The areas of increased density represent haemorrhage within the brain parenchyma and the areas of low density represent oedema.

There is also an acute subdural collection and associated mass effect with midline shift.

Modality: Annotated image

The right parenchymal haemorrhage and subdural haemorrhage has resulted in increased mass effect within the right hemisphere that has resulted in shift of the midline towards the left.

In addition, there has been effacement of the right lateral ventricle.

Case Discussion

Traumatic head injuries are very common and can be very serious.

In 2007 the US Centres for Disease Control and Prevention (CDC) estimated 1.1 million emergency presentations and 500,000 deaths attributed to head injuries.

With the forces involved, there are is a high likelihood of other injuries requiring investigation and management.  In this case, the brain parenchyma has impacted against the skull base resulting in these bleeds and surrounding damage.

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Thanks to Dr Frank Gaillard for contributing this case (original available here).

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Case Information

rID: 34098
Case created: 4th Feb 2015
Last edited: 23rd Apr 2016
Inclusion in quiz mode: Included

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