Subdural Haematomas
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Subdural Haematomas

Subdural haematomas are far more common than epidural haematomas and acute subdural haematomas are one of the leading causes of death and disability in patients with severe traumatic brain injury. Subdural haematomas are due to an accumulation of blood between the dura and arachnoid. This is most often due to head injury resulting in a…

Spontaneous Parenchymal Haemorrhage
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Spontaneous Parenchymal Haemorrhage

There are a number of causes of spontaneous parenchymal haemorrhages. These include: hypertension, vascular malformations and aneurysms, neoplasm (primary or metastatic), cerebral amyloid angiopathy, use of antiplatelet agents or anti-coagulants, blood dyscrasias and drug abuse (e.g. amphetamine and cocaine use). Parenchymal haemorrhages could also be subdivided into deep versus lobar haemorrhages, where deep haemorrhages (basal ganglia, thalamus,…

Intra-cranial Haemorrhage due to Head Injury
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Intra-cranial Haemorrhage due to Head Injury

Often, as a consequence of severe head injury, there may be haemorrhage within various intracranial compartments. In these 2 cases (Patient 1 – Figure 1, Patient 2 – Figures 2 to 11), both patients sustained a severe head injury. A combination of subdural , parenchymal  and subarachnoid haemorrhage   could be seen. In the second case,…

Skull Fracture

Skull Fracture

This is a non-contrast cranial CT from a patient who sustained a fall injury, landing on the back of the head. The CT here shows the cranium utilizing the “bone window”. One can appreciate that the details of the skull bone is shown in greater detail. In contrast, the contents within the skull as well…