Repeat angiography in temporal contusions

In the diagnosis of a temporal contusion bilater filling of the Sylvian vessels permits adequate comparison between the two sides. Such a comparison is important since even at a large contusion with marked upward or medial displacement of the Sylvian vessels no corresponding shift of the midline structure may exist in the acute stage. With increasing interval between trauma and angiography a shift may develop reflecting the true size of the lesion.