Case Notes
History
13 yo male with ATV accident (no helmet). Initially asymptomatic and shortly later had altered mental status and respiratory failure (intubated).Exam
Noncontrast head CT
Prior Study
Bone window head CT1. Extensive fracture of the left facial bones, left orbital apex/optic canal, left otomastoid, left greater & lesser sphenoid wings. There are inner bone table fractures of both frontal bones, both ethmoid bones and the roof of the left otomastoid bones.