Case 281

Medical History

80 years-old female patient complains of asthenia and mental confusion with progressive worsening for 24 hours associated with headache and spatial and temporal disorientation. There is a report of a fall from hers own height two weeks ago, with an injury (a cut) in the frontal region. Previous history of ischemic stroke one year ago, presenting a motor sequel in the left dimidium.

According to the clinical case and the images provided, what is the most likely diagnose and the best approach?

Test Question

(Santa Casa / RJ - 1994) A 68 year old patient with cerebral atherosclerosis presents with mental confusion, headache and somnolence, 15 days after falling on the stairs of his residence. What is the most likely injury?

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