Imaging of Head Trauma
Part 2: Pathology
Rathachai Kaewlai, MD
Created: December 2006
Checklist for Trauma Brain CT
Have 3 different windows to look for different pathology (brain, subdural and bone windows)
First image includes foramen magnum
Look first for the pathology that needs emergent Rx
Look for primary pathology (hemorrhage in different compartments)
Look for secondary pathology (brain herniation, midline shift)
Look at the mastoid and sphenoid sinuses for hemorrhage which implies skull base fractures
Look at temporomandibular joints for fracture and/or dislocation (this pathology causes significant long
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