Subdural hematoma Quiz: Ace Your Exams

A 25-year-old man is brought to the emergency department following an altercation at a bar where he was hit over the left side of his head with a bottle. The patient subsequently lost consciousness and spontaneously awakened minutes later. He initially refused medical evaluation, but a few hours later, he began vomiting and agreed to be taken to the hospital. On arrival, the patient suddenly loses consciousness. Temperature is 36.0°C (96.8°F), pulse is 48/min, respirations are 8/min and irregular, and blood pressure is 144/40 mmHg. On physical examination, the patient does not respond to painful stimuli. The left pupil is dilated and inferolaterally abducted. A non-contrast CT is obtained and demonstrates a convex lesion with mass effect and downward displacement of the inferior temporal lobe. This patient's clinical presentation is best defined by which of the following injury patterns?