A 20 year old male come to casuality with head injury. Examination reveals normal counsciousness, clinically normal and blood in the tympanic membrane, most likely cause is
Extradural haemorrhage
Subdural haemorrhage
Intraventricular haemorrhage
Complete basilar fracture
(Complete basilar fracture) (595 - 99- B & L 24th) (302-Baily & Love 25th)Extradural haemorrhage - Common in younger age group* Usually from haemorrhage of middle meningeal artery* **Lucid interval is characteristic* Surgery without delay is essentialSubdural haematoma - most common intracranial mass lesions resulting from head trauma* *Develop from tom bridging veins or cortical lacerations* More severe poorer out come* **CT - concave hyperdense collectionsBase of skull fractures|||Anterior Cranial Fossa FractureMiddle Cranial Fossa Fracture* Sub conjunctival haematoma* CSF rhinorrhoea* Carotico-cavemous fistula* Periorbital haematoma or "raccoon eyes"* CSF otorrhoea or rhinorrhoea* Haemotympanum ** Ossicular disruption* "Battle sign" (brushing behind the ear)* VII and VIII cranial nerve palsies
Trauma