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Bilateral Epidural Hematoma, Herniation, PCA infarct

Cunningham PJC - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Bilateral Epidural Hematoma, Herniation, PCA infarct

History: An 11 y.o. girl with sickle cell anemia was admitted with abdominal pain and joint pain. She was treated for a painful SCA crisis. Subsequently, she was "found down" and unresponsive. There was no known head trauma.

Findings: • Large left frontal epidural hematoma • Rightward subfalcine herniation with left uncal herniation. • Small right parietal epidural hematoma. • Large left subgaleal hematoma (scalp hematoma). • Small medial left occipital lobe bland infarct. • No calvarial fracture (by report)

Ddx: • Spontaneous parenchymal bleed • Traumatic Epidural hematoma • Traumatic Subdural hematoma

Dxhow: Imaging and surgery

Exam: Dilated and non-reactive left pupil

No MeSH data available.


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Bilateral Epidural Hematoma, Herniation, PCA infarct

Cunningham PJC - MedPix

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1678&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Bilateral Epidural Hematoma, Herniation, PCA infarct

History: An 11 y.o. girl with sickle cell anemia was admitted with abdominal pain and joint pain. She was treated for a painful SCA crisis. Subsequently, she was "found down" and unresponsive. There was no known head trauma.

Findings: • Large left frontal epidural hematoma • Rightward subfalcine herniation with left uncal herniation. • Small right parietal epidural hematoma. • Large left subgaleal hematoma (scalp hematoma). • Small medial left occipital lobe bland infarct. • No calvarial fracture (by report)

Ddx: • Spontaneous parenchymal bleed • Traumatic Epidural hematoma • Traumatic Subdural hematoma

Dxhow: Imaging and surgery

Exam: Dilated and non-reactive left pupil

No MeSH data available.