Case Notes
History
37yo female who fell out of a moving vehicle presenting with altered mental status and confused at sceneExam
Noncontrast head CT
Prior Study
Bone window CT head and upper Cspine1. Bilateral, uncomplicated (other than minimal free intracranial air) longitudinal temporal bone fractures. A nondisplaced vertical linear calvarial fracture connects with the right temporal bone fracture. There is minimal diastasis of the lambdoid sutures in the area near the temporal bones bilaterally. There is no fracture of the sigmoid plate on either side. The bilaterality of the temporal fractures is unlikely with a single blunt force event therefore multiple direction cranial injuries are likely.