Fissure fracture & counter coup injury
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Findings
-Fissure fracture of the left fronto-temporal bones with overlying subglial hematoma and soft tissue swelling.
-Right counter coup injury is detected in form of rim of fresh blood is seen within the subdural space of the right fronto-temporo-parieto-ccipital region (subdural hematoma) with overlying subglial hematoma with soft tissue swelling.
-Mid line shift to the left side by 4.7 mm with mild compression of the right lateral ventricle.
-Right counter coup injury is detected in form of rim of fresh blood is seen within the subdural space of the right fronto-temporo-parieto-ccipital region (subdural hematoma) with overlying subglial hematoma with soft tissue swelling.
-Mid line shift to the left side by 4.7 mm with mild compression of the right lateral ventricle.
Diagnosis
-Left fronto-temporal fissure fracture.
-Counter coup injury in form of right subdural hematoma with midline shift as described.
-Counter coup injury in form of right subdural hematoma with midline shift as described.
Dr. Ashraf Ali Mohammad Mahran DMS is a Senior Resident from with experience of 3-5 years post-graduated from Asyut. Specialized in Reporting of X-RAYS , CT-SCAN cases with expertise in Spine-imaging , Musculoskeletal , Joints , Pediatrics-imaging , Trauma , Stroke-imaging
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