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Acute Subdural Hematoma with temporal bone fracture

Gruters AKG - MedPix (2006)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Acute Subdural Hematoma with temporal bone fracture

History: An 18-year-old Hispanic man was brought by ambulance to the Emergency Department following a high-speed motor vehicle collision in which the patient was ejected from his vehicle.

Findings: Figure 1: Axial CT without contrast The noncontrast head CT revealed a small hyperdense subdural hematoma, consistent with the acute injury (Fig. 1a). There is pneumocephalus, seen as small bubbles of air within the left extraaxial parietal subdural collection as well as a single focus of air posteriorly at the left paramidline aspect of the extraaxial space shown (Fig. 1a). These findings indicate that a fracture has occurred, allowing communication of outside air or a sinus cavity with the intracranial space. Indeed a complex adjacent temporal bone fracture was detected and is best appreciated using bone windows (Fig. 1b).

Ddx: Epidural hematoma Subdural hygroma Subdural empyema

Dxhow: Radiographic findings and clinical presentation

Exam: He was lethargic on presentation, but without evidence of any focal neurological deficits. Physical examination in the trauma bay showed swelling over his left temporal region and scattered facial abrasions.

No MeSH data available.


Axial non contrast head CT image shows a crescent-shaped extraaxial hyperdense fluid collection in the left parieto-occipital subdural space, consistent with an acute subdural hematoma. There is air in the subdural and subarachnoid space suggesting a dural breach from a fracture.
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MPX1212_synpic29914: Axial non contrast head CT image shows a crescent-shaped extraaxial hyperdense fluid collection in the left parieto-occipital subdural space, consistent with an acute subdural hematoma. There is air in the subdural and subarachnoid space suggesting a dural breach from a fracture.


Acute Subdural Hematoma with temporal bone fracture

Gruters AKG - MedPix (2006)

Axial non contrast head CT image shows a crescent-shaped extraaxial hyperdense fluid collection in the left parieto-occipital subdural space, consistent with an acute subdural hematoma. There is air in the subdural and subarachnoid space suggesting a dural breach from a fracture.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1212&req=5

MPX1212_synpic29914: Axial non contrast head CT image shows a crescent-shaped extraaxial hyperdense fluid collection in the left parieto-occipital subdural space, consistent with an acute subdural hematoma. There is air in the subdural and subarachnoid space suggesting a dural breach from a fracture.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Acute Subdural Hematoma with temporal bone fracture

History: An 18-year-old Hispanic man was brought by ambulance to the Emergency Department following a high-speed motor vehicle collision in which the patient was ejected from his vehicle.

Findings: Figure 1: Axial CT without contrast The noncontrast head CT revealed a small hyperdense subdural hematoma, consistent with the acute injury (Fig. 1a). There is pneumocephalus, seen as small bubbles of air within the left extraaxial parietal subdural collection as well as a single focus of air posteriorly at the left paramidline aspect of the extraaxial space shown (Fig. 1a). These findings indicate that a fracture has occurred, allowing communication of outside air or a sinus cavity with the intracranial space. Indeed a complex adjacent temporal bone fracture was detected and is best appreciated using bone windows (Fig. 1b).

Ddx: Epidural hematoma Subdural hygroma Subdural empyema

Dxhow: Radiographic findings and clinical presentation

Exam: He was lethargic on presentation, but without evidence of any focal neurological deficits. Physical examination in the trauma bay showed swelling over his left temporal region and scattered facial abrasions.

No MeSH data available.