CASE HISTORY:
43-year-old patient, unconscious after a suicide attempt.


FINDINGS:
Unenhanced CCT-scan (i.e. without contrast administration).
Discontinuity of the skull cap. Hyperdense (60-80HE) traces of the gyri. Bifrontal Hyperdense "trace" from the left temporal side to the right temporal side. Hyperdense liquor in the entire ventricular system
Hypodense (air equivalent HE-values) vesicle-like areas (intracranial). Flattened gyri and sulci.


DIAGNOSIS:
Multiple skull fractures. Subarachnoid hemorrhage. Intracerebral hemorrhage. Hemorrhage into the ventricles.
Evidence of intracranial air. Cerebral edema.



Information on the internet:

1) Neurorad
2) Gesundheit.de
3) AHC-Consilium
4) Neuropat
5) Uni Marburg
6) Gesellschaft für Neurologie
7) AHC Consilium
8) Neuroskript
9) Gesellschaft für Neurologie
10) AWMF