Head injury & head ct

1,095 views
851 views

Published on

Published in: Health & Medicine
0 Comments
3 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total views
1,095
On SlideShare
0
From Embeds
0
Number of Embeds
3
Actions
Shares
0
Downloads
40
Comments
0
Likes
3
Embeds 0
No embeds

No notes for slide

Head injury & head ct

  1. 1. Head Injury & Head CT Paleerat Jariyakanjana, MD Faculty of Medicine, Naresuan University 25 Oct 2013
  2. 2. 2008
  3. 3. head injured patient   
  4. 4. Low risk Moderate risk Asymptomatic Vomiting GCS 15 Loss of consciousness No headache Diffuse headache Post-traumatic amnesia Vertigo Large contusion / laceration / subgaleal hematoma Age <2 or ≥60 yr On anticoagulant or antiplatelet Alcohol intoxication with GCS 14 Multiple trauma Child abuse Sign of base skull fracture Observe at home with instruction sheet High risk Skull fracture GCS 13-14 without intoxication Neurological deficit Penetrating skull injury Post-traumatic seizure Consult neurosurgeon + CT scan
  5. 5. HEAD CT
  6. 6. Trauma
  7. 7. Trauma
  8. 8. Trauma
  9. 9. Trauma
  10. 10. Nontrauma
  11. 11. Acute stroke  Cytotoxic edema  Loss of gray/white matter differentiation • Insular ribbon sign • Disappearing basal ganglia sign  Effacement of cortical sulci  Subtle low attenuation  Middle cerebral artery sign
  12. 12. Hypoattenuating brain tissue
  13. 13. Obscuration of the lentiform nucleus
  14. 14. Insular Ribbon sign
  15. 15. Dense MCA sign
  16. 16. Non-trauma
  17. 17. Basal ganglia haemorrhage
  18. 18. Nontrauma
  19. 19. Nontrauma
  20. 20. ANY QUESTIONS?

×