CASE HISTORY:
A 35-year-old patient complains of 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 skull cap hematoma.


FINDINGS:
Unenhanced CCT-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 mass between brain surface and skull cap. Flattened gyri und sulci. Midline shift to the right. The left lateral ventricle is poorly defined.


DIAGNOSIS:
Subcutaneous swelling of soft tissue with discrete left-sided parietooccipital hematoma.
Acute left-sided parietooccipital
epidural hematoma with consecutive mass effect and midline shift to the right
.
Brain edema.
Compression of the left lateral ventricle

Information on the internet:

1) Neuroskript
2) Uni Marburg
3) AHC-Consilium
4) Uniklinik Saarland