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Figure 1 | Critical Care

Figure 1

From: Rapid detection of recurrent intraventricular hemorrhage by ultrasound in a multiple trauma patient who had undergone craniectomy

Figure 1

Computed tomography and ultrasound images of the head in a multiple trauma patient with craniectomy and recurrent intraventricular hemorrhage. (a,b) Head computed tomography (CT) before craniectomy showing severe cerebral contusion and the deformed left lateral ventricle. (c,d) Head CT on the fi rst day post-craniectomy showing the absence of the skull and the normal left lateral ventricle. (e) Ultrasound image corresponding to the CT scan shown in (d); (f) the normal Doppler pattern of the left middle cerebral artery (LMCA). (g-i) Head CT and ultrasound images after the fi rst intraventricular hemorrhage (IVH): (g,h) hematocele in both lateral ventricles; (i) slightly abnormal Doppler pattern of the LMCA. (j-l) Head CT and ultrasound images after the second IVH: (j,k) both enlarged lateral ventricles with hematocele compared with (g); (l) reverse blood fl ow during the diastolic period of LMCA.

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