Traumatic haemorrhage

Case contributed by Dr Jeremy Jones

Presentation

Fall during a street football game. Hit head on ground (concrete). LOC for 15-20 minutes. Right haemotympanum. GCS 12.

Modality: CT

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Case Discussion

Extra-axial blood in the subdural space (right parietal, falx cerebri and tentorium)

Traumatic subarachnoid blood in the right frontal region and in a contra coup location in the left parietal region.

Right frontal contusions.

Significant mass effect with effacement of the ipsilateral lateral ventricle but no contralateral hydrocephalus.  Midline shift with subfalcine herniation.

Being transferred to our local neurosurgical centre now.

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Case Information

rID: 13195
Case created: 11th Mar 2011
Last edited: 16th Oct 2015
Tag: trauma
Inclusion in quiz mode: Included

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