case_images: PMC8720431_01
case_images: Two deep linear lacerations were present over the left parieto-occipital region. The belly of the temporalis muscle can be visualized in the larger wound. The patient's history and presentation did not align. It was more probable that the wounds were due to an ax as opposed to a road traffic accident.
case_images: SNI-12-590-g001.jpg
case_images: PMC8720431_01_SNI-12-590-g001.jpg
case_images: F1
case_images: On examination, there were two linear lacerations present over his left parieto-occipital region [Figure 1].
case_images: A non-contrast CT abdomen showed a shrunken left kidney with an evident vascular pedicle in the left lumbar area with a tiny focus of calcification suggestive of atrophy.
case_images: SNI-12-590-g002.jpg
case_images: PMC8720431_01_SNI-12-590-g002.jpg
case_images: F2
case_images: As part of the trauma protocol, a non-contrast abdominal CT was performed, and it showed no internal bleeding but revealed an atrophic left kidney [Figure 2].
case_images: A T2-TSE image showing acute infarct with hemorrhagic transformation in the left parieto-occipito-temporal lobes, predominantly involving the cortex and adjacent grey-white matter junction.
case_images: SNI-12-590-g003.jpg
case_images: PMC8720431_01_SNI-12-590-g003.jpg
case_images: F3
case_images: A postoperative contrast MRI revealed a venous infarct with a hemorrhagic transformation involving the left parieto-occipital temporal lobes due to venous thrombosis of the left transverse and sigmoid sinus and proximal 2 cm of the left internal jugular vein [Figures 3 and 4].
case_images: A T1W contrast-enhanced image showing a long segment filling defect in the left transverse sinus, sigmoid sinus, and proximal 2 cm of the left internal jugular vein.
case_images: SNI-12-590-g004.jpg
case_images: PMC8720431_01_SNI-12-590-g004.jpg
case_images: F4
case_images: A postoperative contrast MRI revealed a venous infarct with a hemorrhagic transformation involving the left parieto-occipital temporal lobes due to venous thrombosis of the left transverse and sigmoid sinus and proximal 2 cm of the left internal jugular vein [Figures 3 and 4].