CT Brain - EDH with contracoup injury

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CT brain - extradural haemorrhage

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CT Brain - EDH with contracoup injury

  • The dense (white) lens-shaped collection on the left indicates an acute extradural haematoma (EDH)
  • The smaller intracerebral bleed on the opposite side is a "contracoup" injury (an injury on the opposite side to the site of impact)
  • Contracoup injuries result from torsional or shearing forces due to acceleration-deceleration at the time of injury

Clinical features

  • Fall from height with direct trauma to the left side of the head