DEDH following decompressive hemicraniectomy for traumatic brain injury. DEDH following decompressive hemicraniectomy for traumatic brain injury. A, Axial.

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Presentation transcript:

DEDH following decompressive hemicraniectomy for traumatic brain injury. DEDH following decompressive hemicraniectomy for traumatic brain injury. A, Axial noncontrast CT at the level of the corona radiata before initial decompression demonstrates diffuse effacement of the cerebral sulci and small holohemispheric subdural hematoma on the left. Small bilateral frontal hemorrhagic contusions and scattered subarachnoid hemorrhage were also present. B, Three-dimensional volume-rendered image reconstructed from bone algorithm noncontrast head CT demonstrates complex calvarial fractures on the right involving the right temporal, occipital, and parietal bones. C, Noncontrast head CT performed after left decompressive hemicraniectomy shows interval development of a new, large, heterogeneously attenuated epidural hematoma in the right parietal region with new right to left midline shift and left frontotemporal external herniation. J.F. Talbott et al. AJNR Am J Neuroradiol 2014;35:1930-1935 ©2014 by American Society of Neuroradiology