| Head computed tomography interpretation in trauma: a primer. | |
| | |
MedLine Citation:
|
PMID: 21093681 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
Noncontrast computed tomography (CT) provides important diagnostic information for patients with traumatic brain injury. A systematic approach to image interpretation optimizes detection of pathologic air, fractures, hemorrhagic lesions, brain parenchymal injury, and abnormal cerebrospinal fluid spaces. Bone and brain windows should be reviewed to enhance injury detection. Findings of midline shift and mass effect should be noted as well as findings of increased intracranial pressure such as hydrocephalus and cerebral edema, because these may immediately influence management. Compared with CT, magnetic resonance imaging may provide more sensitive detection of diffuse axonal injury but has no proven improvement in clinical outcomes. This article discusses key CT interpretation skills and reviews important traumatic brain injuries that can be discerned on head CT. It focuses on imaging findings that may deserve immediate surgical intervention. In addition, the article reviews the limits of noncontrast CT and discusses some advanced imaging modalities that may reveal subtle injury patterns not seen with CT scan. |
| | |
Authors:
|
Joshua Seth Broder |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: The Psychiatric clinics of North America Volume: 33 ISSN: 1558-3147 ISO Abbreviation: Psychiatr. Clin. North Am. Publication Date: 2010 Dec |
Date Detail:
|
Created Date: 2010-11-24 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7708110 Medline TA: Psychiatr Clin North Am Country: United States |
Other Details:
|
Languages: eng Pagination: 821-54 Citation Subset: IM |
Copyright Information:
|
Copyright © 2010 Elsevier Inc. All rights reserved. |
Affiliation:
|
Division of Emergency Medicine, Department of Surgery, Duke University Medical Center, Box 3096, 2301 Erwin Road, Durham, NC 27710, USA. joshua.broder@duke.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Traumatic brain injury and its neurobehavioral sequelae.
Next Document: Neuropsychological assessment in traumatic brain injury.