case_images: PMC10783678_01
case_images: Initial computed tomography brain showing multiple biconvex hyperdense collection in the concavity of the skull bone, the largest in the right parietotemporal region measures 5.9 x 1.8 x 6.4m. Effacement of the right lateral ventricle with mild midline shift to the left with corresponding dilatation of the left lateral ventricle.
case_images: SNI-14-448-g001.jpg
case_images: PMC10783678_01_SNI-14-448-g001.jpg
case_images: F1
case_images: The patient underwent computed tomography (CT) of the brain, which revealed multiple biconvex hyperdense collections in the concavity of the skull bone, suggestive of acute epidural hematoma (EDH) [Figure 1].
case_images: Computed tomography brain of day ten of admission showing multiple epidural hematomas. The new measure of right parietotemporal hematoma was 5.5 x 1.6 x 4.1 cm in its craniocaudal, transverse, and AP dimensions, and clot lysis probably taking place already.
case_images: SNI-14-448-g002.jpg
case_images: PMC10783678_01_SNI-14-448-g002.jpg
case_images: F2
case_images: A fifth CT brain was done [Figure 2].
case_images: Follow-up computed tomography of the brain after a month revealing complete resolve of all hematomas.
case_images: SNI-14-448-g003.jpg
case_images: PMC10783678_01_SNI-14-448-g003.jpg
case_images: F3
case_images: One month later, the patient was presented to the outpatient neurosurgery clinic in good health, where a follow-up CT showed complete resolution of all the hematomas [Figure 3].
case_images: PMC10783678_02
case_images: Computed tomography brain showing a bilateral subarachnoid hemorrhage that could be noted mainly at basal cistern along cerebellar tentorium and high right occipital cortical sulci and a left high parietal extracranial subgaleal hematoma in addition to a right occipital extracranial subgaleal hematoma.
case_images: SNI-14-448-g004.jpg
case_images: PMC10783678_02_SNI-14-448-g004.jpg
case_images: F4
case_images: The plan was to give 500 mg tranexamic acid; factor VII concentrate 90 mg/kg, and six units of platelets transfusion after a hematologist consultation [Figure 4].
case_images: Computed tomography head on day 10 showing faint hyper density along the tentorium.
case_images: SNI-14-448-g005.jpg
case_images: PMC10783678_02_SNI-14-448-g005.jpg
case_images: F5
case_images: A CT head was obtained [Figure 5].