Case Notes
History
24 yo male with unhelmeted ATV accident. Initially alert, but then became unresponsiveExam
Noncontrast head CT
Prior Study
Bone window CT head and upper Cspine1. Direct impact left mid temporal bone with fractures mainly affecting the mastoid and EAC. Sigmoid plate is intact; ossicular position is unaffected.
2. There appears to be increased width of the right C4 and C5 articular facet possibly representing capsular injuries. Furthere imaging may be considered if there are symptoms referable to the C spine.