PMC10481816_01
Initial computed tomography (CT) scan showing bilateral frontal and right temporal tip contusions (a) and acute subdural hematoma (b). Three-dimensional CT revealing a right temporal skull fracture (c, arrow).
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F1
Coma Scale (GCS) score was 14 (E4V4M6). Computed tomography (CT) revealed a right temporal skull fracture, bilateral frontal and right temporal tip contusions, and acute subdural hematoma [Figure 1].
Follow-up computed tomography showing hemorrhagic progression of the left frontal and right temporal contusion (arrow) with midline shift and brainstem compression (arrow head) (a and b).
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F2
Follow-up CT showed hemorrhagic progression of the left frontal and right temporal contusion with midline shift and brainstem compression [Figure 2].
Postoperative computed tomography (CT) showing adequate hematoma evacuation (a) and improved midline shift after surgery (b). Three-dimensional CT showing two burr holes made in the right temporal (c, arrow) and left frontal (d, arrow) regions for the endoscopic removal of bilateral traumatic intracerebral hemorrhage.
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F3
TICH removal with adequate decompression [Figure 3]. The patient regained consciousness postoperatively to a GCS score of 14 points (E4V4M6), but with higher cerebral dysfunction including cognitive dysfunction and irritability.