Case 192

Case 192

Enunciado

A.S.R., male, 57 years old, victim of a head injury due to the collision of two trucks. Admitted 60 hours after the accident with score 3 on the Glasgow Coma Scale (GCS), anisocoria with mydriasis on the left and a collapsed skull. After discontinuation of sedation, presented with a score 5 on the GCS, decerebration on the right and decortication on the left, after painful stimulus; anisocoria with mydriasis on the left, corneal reflex preserved bilaterally and oculocephalic reflex abolished bilaterally.

Computed tomography of the brain, without contrast, axial view, soft tissue-window.

 

Computed tomography of the brain, without contrast, axial view, bone-window.

 

Computed tomography of the brain, with venous contrast, sagittal view, soft tissue-window.

Question:
Based on the clinical history and the imaging studies presented, which is the most likely diagnosis?

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