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Traumatic brain injury
  1. Emanuele Bernardi1,
  2. Jacopo Davide Giamello2,
  3. Bartolomeo Lorenzati1
  1. 1 Emergency Department, Azienda Ospedaliera S Croce e Carle Cuneo, Cuneo, Italy
  2. 2 School of Emergency Medicine, Università degli Studi di Torino, Turin, Italy
  1. Correspondence to Dr Jacopo Davide Giamello, School of Emergency Medicine, Università degli Studi di Torino, 10126 Turin, Italy; jacopo.giamello{at}

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Clinical introduction

An adult patient with arterial hypertension had a witnessed loss of consciousness and a fall from a height of approximately 5 feet with head trauma; the patient was thus referred to the ED in unconscious state. A head CT scan was obtained (figures 1–4).

Figure 1

CT scan showing subarachnoid haemorrhage: hyperdensity can be seen in the subarachnoid space (Sylvian fissure, frontal and sagittal sulci); the CT also shows a crescent-shaped left hemispheric subdural haematoma.

Figure 2

CT scan with a right parietal epidural haematoma with …

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.