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Traumatic epidural hematoma (CT evolution)

Nonenhanced cranial CT scans in this 4-year-old boy demonstrate an initially small, likely mixed acute/hyperacute parietal epidural hematoma. Initial scan is seen in (A). While still in the emergency department, the patient became drowsier, and over a period of less than 5 minutes he was unresponsive. He was taken immediately for a head CT. (B) reveals the greatly expanded mass causing significant midline shift. (Contributed by Dr. Jose Biller.)

Associated Disorders

  • Alcohol intoxication
  • Cerebral contusion
  • Cerebral edema
  • Communicating hydrocephalus
  • Depressed skull fracture
  • Diffuse axonal injury
  • Illicit drug intoxication
  • Intraparenchymal hematoma
  • Intraventricular hemorrhage
  • Linear skull fracture
  • Obstructive hydrocephalus
  • Scalp laceration
  • Subdural hematoma
  • Subgaleal hematoma
  • Transtentorial herniation
  • Trauma
  • Traumatic subarachnoid hemorrhage
  • Uncal herniation