Male patient, 25 years of age, brought by the SAMU (Mobile Emergency Service) to the emergency room of the João XXIII Hospital, after falling off a motorcycle. On physical examination, the patient was intubated and hemodynamically stable. He received three points in the Glasgow coma scale, pupils of equal size, measuring 2mm each, both reactive to light. A computed tomography (CT) was requested. Head CT scan without venous contrast, axial view (sequence).Head CT scan without venous contrast, sagittal view. Question:Based on the clinical picture and the images, what is the most likely diagnosis and the most probable origin of the bleeding? A) Acute subdural hematoma originated from fronto-temporal lesions on the veins between the dura mater and the skull. B) Epidural hematoma on the vertex originated from a superior sagittal sinus injury. C) Traumatic subarachnoid hemorrhage affecting the central lobe due to a lesion originated in the anterior cerebral artery. D) Bifrontal intraparenchymal contusion originated from cortical lesions in the arteries associated with cerebral laceration. Time is Up! Time's up
