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Clinical Neuroscience News, February 2013

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Case Study: Multiple Trauma Case

Rick Madhok, MD

A 45-year-old woman sustained multiple skull, facial and skeletal fractures as a result of being hit by a motor vehicle while out walking on New Year’s Day. Paramedics called to the scene found her bleeding profusely from the head, but responsive to verbal stimuli, her functional capacities intact, and her eyes swollen and closed bilaterally.

She was taken into surgery for an emergent craniotomy to relieve an epidural hematoma and for repair of multiple skull base fractures. An oromaxillofacial surgeon fixed her broken jaw and a plastic surgeon attended to a 10 cm facial laceration and other contusions caused by her contact with the pavement.

After several days in the ICU, she had her fractured left elbow surgically repaired. Since that time, she has made a remarkable recovery through rehabilitation and home rest. She is now back at work.

Multiple Trauma Multiple Trauma
CT scan without contrast demonstrating initial small hematoma CT scan without contrast showing expansion of hematoma
Multiple Trauma
CT scan without contrast showing decompression of epidural hematoma



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