case_images: PMC9805635_01
case_images: (a-c) Coronal and axial images from unenhanced computed tomography scan brain reveal a large left temporal hemorrhagic contusion (blue arrow) with associated surrounding edema, resulting in mass affect and midline shift to right (Arrow head). There is accompanying effacement of the left-sided perimesencephalic basal cisterns raising the possibility of impending uncal herniation (curved). Extensive left acute subdural hematoma and subarachnoid hemorrhage.
case_images: SNI-13-562-g001.jpg
case_images: PMC9805635_01_SNI-13-562-g001.jpg
case_images: F1
case_images: Coma Scale was 12/15 (E4V2M6). CT scan depicted a left temporal hematoma with extensive acute subdural hematoma, diffuse edema and mass effect, and midline shift of 6.6 mm [Figure 1].
case_images: Axial and coronal images from unenhanced computed tomography scan brain. (a and b) showing a craniectomy defect. (c and d) are the images taken 1 week after cranioplasty.
case_images: SNI-13-562-g002.jpg
case_images: PMC9805635_01_SNI-13-562-g002.jpg
case_images: F2
case_images: Suspecting "syndrome of trephined" and in view of his persistently unexplained behavioral dysfunction, we planned for early cranioplasty which was performed 6 weeks after the primary procedure [Figure 2].