Extradural hemorrhage

Case contributed by Anthony Nuñez
Diagnosis certain

Presentation

Fall from bed. No evidence of head trauma at physical examination.

Patient Data

Age: 2 years
Gender: Female
ct

At posterior fossa, there is a left-sided extra-axial biconvex hyperdense collection (60HU) associated with occipital fracture (seen in bone window) suggestive of extradural hemorrhage. 

Mass effect with compression of left cerebellar hemisphere. 

A left parasagittal occipital vertical skull fracture reaching foramen magnum.

Post-surgical follow up

ct

Post-surgery changes in the occipital bone. 

No residual extra-dural collection. 

Case Discussion

An uncommon site of traumatic extradural hemorrhage (at the posterior fossa).

Patient was immediately taken to surgery room in order to decompress. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.