Diastatic fracture, SDH
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CB1417-Diastatic fracture, SDH
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CB1417-Diastatic fracture, SDH
Case ReportHistory
Exam
Prior Study
Findings
Findings
There is scalp swelling overlying the right parietal and temporal regions. There is extensive slightly diastatic fracture line along the right parietal bone, extending from the coronal to the lambdoid sutures. There are at least 2 mildly displaced fractures along the left parietal bone. There is apparent faint fracture line in between the above described ones in the left parietal bone. There is mild soft tissue swelling overlying some of the left parietal fractures.
There is 2 mm slightly hyperdense material suspicious for a small subdural collection overlying the right frontal polar region. There is suspected isodense thin extra-axial collections underlying the margins of the right parietal fracture. Faint foci of hyperdensity along right greater than left frontal convexities, representing blood products.
Hyperdensities seen along the inferior anterior falx at the cribriform plate, associated with blood products.
The brain volume is appropriate for the patient's age. The gray-white differentiation is normal. The basal cisterns appear normal. There is no hydrocephalus or midline shift.
There is opacification in the left maxillary sinus. Mastoid air cells and middle ear cavities are clear. The visualized paranasal sinuses, mastoid air cells and orbits appear unremarkable.
Impression
2. Mixed age SDH and hemorrhagic contusions as detailed above.
Recommendations
The above urgent finding(s) were discussed with the ER doctor who indicated they understood the importance of the finding(s).
