Extradural hematoma

Discussion:

Large left sided extradural hematoma producing substantial mass effect with compression of the midbrain. While extradural hematoma do not often cross cranial sutures, they can if there is fracture disruption of the suture as in this case. This case also demonstrates nicely how extradural hemorrhage does not extend along dural reflections, but instead pushes the origin of the dural folds inward. 

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