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A 71-year-old man was pushed onto his back by a slow-moving vehicle. Initially, he was alert and fully oriented. In the emergency department, the patient was disoriented to place; the examination revealed no signs of injury, and coagulation studies were normal. Within 30 minutes after the initial evaluation, his neurologic status deteriorated. The axial section of a computed tomographic (CT) scan of the head, obtained without the addition of contrast medium, revealed four types of acute post-traumatic intracranial hemorrhage: an epidural hematoma (thick white arrow) and a squamous temporal fracture (which is not shown) on the left side, a laminated . . . [Full Text of this Article] |
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