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Acute epidural hematoma, bleeding meningeal artery

Smirniotopoulos, M.D. JGSM - MedPix (2010)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Acute epidural hematoma, bleeding meningeal artery

History: 24 y.o. man, after heavy alcohol intake, fell from a barstool, striking his head on the floor. He was only unconscious for one minute - but awoke amnestic for the event.

Findings: Selective external carotid catheter angiogram shows: 1) active extravasation of contrast 2) displacement of vessels away from the inner table of the skull

Ddx: • Epidural hematoma • Dural A-V Fistula • Subdural hematoma

Dxhow: Surgical drainage of 90 cc of blood clot

Exam: • Confused and combative, obviously intoxicated. • L. hemiparesis with slight L. hyperreflexia NOTE: All of your scanners are having a PACS software security patch - they are all temporarily out of service.

No MeSH data available.


Selective external carotid injection, shows two areas of active bleeding from the posterior branches of the middle meningeal artery.  The non-displaced linear skull fracture is not seen.
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MPX1167_synpic54757: Selective external carotid injection, shows two areas of active bleeding from the posterior branches of the middle meningeal artery. The non-displaced linear skull fracture is not seen.


Acute epidural hematoma, bleeding meningeal artery

Smirniotopoulos, M.D. JGSM - MedPix (2010)

Selective external carotid injection, shows two areas of active bleeding from the posterior branches of the middle meningeal artery.  The non-displaced linear skull fracture is not seen.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1167&req=5

MPX1167_synpic54757: Selective external carotid injection, shows two areas of active bleeding from the posterior branches of the middle meningeal artery. The non-displaced linear skull fracture is not seen.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Acute epidural hematoma, bleeding meningeal artery

History: 24 y.o. man, after heavy alcohol intake, fell from a barstool, striking his head on the floor. He was only unconscious for one minute - but awoke amnestic for the event.

Findings: Selective external carotid catheter angiogram shows: 1) active extravasation of contrast 2) displacement of vessels away from the inner table of the skull

Ddx: • Epidural hematoma • Dural A-V Fistula • Subdural hematoma

Dxhow: Surgical drainage of 90 cc of blood clot

Exam: • Confused and combative, obviously intoxicated. • L. hemiparesis with slight L. hyperreflexia NOTE: All of your scanners are having a PACS software security patch - they are all temporarily out of service.

No MeSH data available.