Bilateral Posterior Temporal Lobe Contusions as a Rare Pattern of Traumatic Brain Injury

Autor:	Patrick Vermylen, Maarten Dewil, Lode Janssen, Annelies Geebels
Rok vydání:	2021
Předmět:	medicine.diagnostic_test Traumatic brain injury business.industry Tentorium cerebelli Computed tomography Anatomy medicine.disease Vertex (anatomy) Temporal lobe medicine.anatomical_structure Xanthochromia medicine Neurology (clinical) Scalp wound Differential diagnosis business
Zdroj:	Neurology. 97:142-143
ISSN:	1526-632X 0028-3878
DOI:	10.1212/wnl.0000000000012146
Popis:	A 56-year-old woman was found hypothermic on her bathroom floor with a scalp wound, with laboratory results indicating long lie. She was lethargic and had difficulties finding words. CT scan revealed symmetric posterior temporal lobe hypodensities with punctiform hemorrhagic transformation (figure). Radiologic differential diagnosis included encephalitis,1 but CSF showed normal cytosis, xanthochromia, and elevated protein. Contusions are the most common intra-axial injuries, caused by sudden deceleration and impact of the brain against bone or dura mater.2 In this case, the impact occurred symmetrically against the tentorium cerebelli, presumably caused by a fall straight on the vertex while the patient was exiting the bathtub.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::d121ea11bc1efa1bd351b222d4f2d03d https://doi.org/10.1212/wnl.0000000000012146 Zobrazit plný text záznamu