A bashed head

by Dr Mike Cadogan, last update February 28, 2019

A 27 year-old male was involved in head on collision at high speed. He was GCS 8 at the scene.

A CT Head was performed:

List 5 abnormalities on the CT brain.

Answer and interpretation

1. depressed, comminuted fracture of the left temporal bone

2. fracture involving the left orbit

3. scalp haematoma overlying the fractured temporal bone (and you can even see a big laceration)

4. pneumocephalus

5. a small left sided acute subdural haemorrhage

6. a small left frontal intraparenchymal haemorrhage

Anything else?

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