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Traumatic subarachnoid hemorrhage with contusion

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Head trauma

Subarachnoid hemorrhage (SAH) within the right sylvian fissure and cerebral contusions located at the right temporal pole and extensive scalp swelling on the left. Typical coup-contrecoup pattern. 

Case Discussion

Typical appearances of traumatic subarachnoid hemorrhage should still, especially when located near the circle of willis / posterior fossa / sylvian fissure, be investigated for a possible underlying aneurysm. In some instances the head injury is the result of a spontaneous subarachnoid. 

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