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© Springer Nature Switzerland AG 2020
C. G. Kaide, C. E. San Miguel (eds.)Case Studies in Emergency Medicinehttps://doi.org/10.1007/978-3-030-22445-5_3131. Radiology Case 6
(1)
Department of Emergency Medicine, Wexner Medical Center at The Ohio State University, Columbus, OH, USA
Keywords
Spontaneous from coagulopathyThrombolysisVascular malformationNeoplasmEpidural anesthesiaPaget’s disease of the skullBilateralCase 6a
Indication for the Exam
77-year-old man arrives after a motorcycle accident with positive loss of consciousness. He had obvious facial trauma, but seemed neurologically intact.
Radiographic Findings
Lentiform hyperdense collection along the left frontotemporal convexity with mild mass effect.
Diagnosis
Epidural Hematoma
Case 6b Indication for the Exam
19-year-old male presents after being kicked in the face by a bull. He had extensive trauma to the face with a Glasgow Coma Score of 5.
Radiographic Findings
He had crescentic hyperdense collection along the right frontal convexity compatible with acute subdural hematoma. There is mass effect and midline shift. The irregular area of hypodensity in the central portion of the hematoma is concerning for active bleeding (swirl sign).
Diagnosis
Subdural hematoma
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