Sunday, 10 May 2015

Swirl Sign

SWIRL SIGN 
5 years old male child presented with acute onset headache for 1 day. There was no history of trauma. However, he is k/c/o factor IX deficiency. NCCT head revealed large crescent shaped extra-axial collection in Rt fronto-parieto-temporal lobe (-- s/o extradural hematoma) with central hypodense areas -- s/o swirl sign which indicate active bleed within the hematoma. There is also marked midline shift towards left side.

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