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.




 





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DIAGNOSIS