Coexistence of five types of intracranial hemorrhagic lesions after brain injury in a young adult

Diop Abdoulaye1*, Yves Arbara2, Momar Code Ba3, Seydou Boubacar Badiane3

1Neurosurgery unit at the regional hospital center of Ziguinchor, Senegal.
2Radiology Department of the Ziguinchor regional hospital center, Senegal.
3Neurosurgery Department of the FANN Teaching Hospital Center, Senegal.

Posttraumatic intracranial hemorrhage is an entity frequently encountered in neurosurgical daily practice. These haemorrhagic lesions are classified according to their location as: extradural haematoma, acute subdural haematoma, intraparenchymal haemorrhage, subarachnoid haemorrhage and contusion. A brain scan is the key examination for the diagnosis. The simultaneous presence of these hemorrhagic lesions in a single traumatic brain injury is rare. We are reporting an unusual case of a 24-year-old who suffered from a brain injury due to road traffic accident, and whose brain CT scan showed five types of post-traumatic intracranial lesions. He benefitted from medical treatment and neurological surveillance. The evolution was favorable with a setback of the signs of intracranial hypertension. The follow-up brain CT scan performed one month after the trauma showed a complete resorption of the lesions.

Keywords: Intracranial hemorrhagic lesions; Traumatic brain injury; Brain CT scan; Young adult

Free Full-text PDF

How to cite this article:
Diop Abdoulaye, Yves Arbara, Momar Code Ba, Seydou Boubacar Badiane. Coexistence of five types of intracranial hemorrhagic lesions after brain injury in a young adult. American Journal of Surgical Research and Reviews, 2020; 3:9. DOI:10.28933/ajsrr-2020-10-1905


1. Van Asch CJ, Luitse MJ, Rinkel GJ, van der Tweel I, Algra A, Klijn CJ. Incidence, case fatality, and functional outcome of intracerebral haemorrhage over time, according to age, sex, and ethnic origin: a systematic review and me-ta-analysis. Lancet Neurol. 2010; 9:167–176.
2. Mathe JF, Richard I, Rome J. Serious brain injury and public health, epidemiologic and financial considerations, comprehensive management and care. Ann Fr Anesth Reanim 2005; 24: 688-94
3. Shetty VS, Reis MN, Aulino JM, Berger KL, Broder J et al. ACR appropriateness criteria head trauma. J Am Coll Radiol. 2016; 13:668–679.
4. Perel P, Roberts I, Bouamra O, Woodford M, Mooney J et al. Intracranial bleeding in patients with traumatic brain injury: a prognostic study. BMC Emerg Med 2009; 9:15.
5. Grondard E., Martin C. Atteintes neu-ro-orthopédiques graves du cérébrolésion acquis. Kinesth. Scientifique, 1995, 348: 6-21.
6. Mattiello JA, Munz M: Images in clinical medicine: Four types of acute post-traumatic intracranial hemorrhage. N Engl J Med 2001; 344:580.
7. Glastonbury CM, Gean AD. Current neuroimaging of head injury. Semin Neurosurg 2003;14:79-88.

Terms of Use/Privacy Policy/ Disclaimer/ Other Policies:
You agree that by using our site, you have read, understood, and agreed to be bound by all of our terms of use/privacy policy/ disclaimer/ other policies (click here for details).

This work and its PDF file(s) are licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.