- Severe shearing type brain injury; brainstem contusions; extra-axial haemorrhages involving the ventricles, middle cranial fossa, subarachnoid spaces, basal cisterns and superior cervical canal; and evidence of raised ICP.
- Traumatic dissections of both intracranial internal carotid arteries
- Severe middle and posterior skull base fractures involving the sphenoid, petrous temporal, and occipital bones with disruption of multiple bilateral neurovascular spaces including both carotid canals, middle ears, TMJs, EACs,and facial nerve canals. This is consistent with a posterior transverse fracture pattern (see transsphenoidal basilar skull fractures)
- Possible left cavernous carotid active bleeding into the extra-axial left middle cranial fossa.