Season 6 Case 28

Season 6 Case 28

Case 28

History: altered mental status, found down

Yeah, subarachnoid blood. Anything more interesting or worrisome?


Answer:

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Hypodense swollen midbrain with linear hemorrhage on the left (oh yeah and some blood in the basilar cisterns). Don’t forget the transtentorial herniation!

Answer = Duret hemorrhage

Very bad! Herniation of the midbrain/pons/brainstem causes injury to perforating arteries or veins. Associated with extremely high mortality.