File:Cerebral contusions, subarachnoid hemorrhage and subdural hygromas (Radiopaedia 55399-61828 Axial non-contrast 12).png

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Summary:

Description
  • Radiopaedia case ID: 55399
  • Image ID: 32425519
  • Image stack position: 12/29
  • Plane projection: Axial
  • Aux modality: non-contrast
  • Study description: CTB Day 1
  • Study findings: CT obtained the next day (D1, 24hrs) demonstrates the development of bilateral subdural hygromas larger on the left. Edema is also more prominent around the hemorrhagic contusions. Blood is now seen redistributed over the convexity of the brain as well as refluxing into the ventricles, pooling in the occipital horns.
  • Modality: CT
  • System: Central Nervous System
  • Findings: CT obtained on admission (D0) demonstrates a right occipital scalp hematoma with no underlying fracture. Large bilateral frontal and temporal hemorrhagic contusions (contrecoup) with overlying traumatic subarachnoid hemorrhage. A small amount of subdural hemorrhage is also seen layering on the tentorium, particularly on the right. A lucency through the left parietal bone on bone windows (contralateral to the scalp hematoma) looks to be an undisplaced fracture. It appears very similar to a vascular channel but does extend over too many slices. It heads towards, but does not reach, the petrous temporal bone. Unfortunately, I cannot locate multiplanar images to confirm this on other planes. Thanks to Dr MG for pointing this out to me.
Date Published: 17th Sep 2017
Source https://radiopaedia.org/cases/cerebral-contusions-subarachnoid-haemorrhage-and-subdural-hygromas
Author Frank Gaillard
Permission
(Permission-reusing-text)
http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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current09:43, 26 July 2021Thumbnail for version as of 09:43, 26 July 2021512 × 621 (57 KB) (talk | contribs)Radiopaedia project rID:55399 (batch #6938-12 A12)

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