CASE
HISTORY / CLINIC:
Patient who fell from a scaffold. Severe bilateral nasal bleeding, enormous swelling
of the face and hematoma soon after the accident occured. Patient complains of
moderately severe headache. Suspicion of nasal liquorrhea two days after the
accident.
FINDINGS:
The coronal CT scans (bony window) of the rhinobasis demonstrate intracranial
air above the right lamina cribrosa. The lamina
cribrosa is discontinuous and the ethmoidal
cells on both sides, the nasal cavity and the maxillary sinuses demonstrate almost
total radiopacity.
Side
finding: Large calcification
of the falx.
DIAGNOSIS:
Right-sided rhinobasal skull fracture with intracranial air. Radio-opacity
of the demonstrated paranasal sinuses and nasal cavity is most likely due to
bleeding.
Side
finding: calcifications of the falx.