CASE HISTORY:
A 35-year-old patient with severe headache after a car accident, feels better again after an hour. Becomes somnolent two hours later. The clinical examination reveals a left-sided subcutaneous
parietooccipital hematoma
.


FINDINGS
:
Unenhanced CT-scan (i.e. without contrast administration).
Left-sided asymmetric swelling of the scalp in comparison to the right side. Left-sided hyperdense (60-80HE) biconvex epidural mass. Midline shift to the left between brain surface and skull cap. Left ventricle not visualized.


DIAGNOSIS:
Subcutaneous swelling of soft tissue with discrete parietooccipital hematoma on the left.
Acute left-sided parietooccipital
epidural hematoma. Consecutive mass effect of the left-sided epidural hematoma with midline shift to the right
.


D
IFFERENTIAL DIAGNOSIS:
Acute/chronic subdural hematoma
Hygroma
Epidural/Subdural empyema
Meningeoma

 

Information on the internet:

1) AHC-Consilium
2) Uni Marburg
3) Gesundheit.de
4) AHC-Net
5) Chorus
6) Medicine worldwide




FINDINGS





DIAGNOSIS



DIFFERENTIAL DIAGNOSIS