An 83 year old woman slips in the bathtub in her home and falls - ProProfs
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An 83-year-old woman slips in the bathtub in her home and falls backward, striking her head. She is taken to the emergency department, where examination shows a 3-cm, reddish, slightly swollen area over the occiput. She is arousable but somnolent. There are no motor or sensory deficits. There is no papilledema. CT scan of the head is performed. Acute hemorrhage in which of the following locations is most likely to be seen?



A. Basis pontis
B. Cerebral ventricle
C. Epidural space
D. Inferior frontal lobe
E. Putamen
F. Sella turcica

This question is part of

Pathology Review ch 28 CNS prt 3

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1 Answer

John Smith

John Smith

Answered on Sep 09, 2016

Inferior frontal lobe-(d) this patient has the classic contrecoup type of injury, in which the moving head strikes an object, and the force is transmitted to the opposite side of the head. a fall backward is most likely to produce contusions to the inferior frontal lobes, temporal tips, and inferior temporal lobes. a blow to a stationary head is more likely to produce a coup injury directly adjacent to the site of the blow. hemorrhage into the pons is typical of a duret hemorrhage, seen in medial temporal lobe herniation. hemorrhage into the cerebral ventricles may occur in premature infants from germinal matrix hemorrhage; in adults, it is uncommon, but may occur with dissection of blood from an intraparenchymal lesion. a blow to the side of the head is more likely to lacerate the middle meningeal artery and produce an epidural hematoma. putaminal hemorrhage is most likely to occur in hypertension. subarachnoid hemorrhage at the base of the brain may dissect into the sella. bp7 819821bp8 869pbd7 13571358pbd8 12871288
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