Imaging of Head Trauma Part 2

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  • 1. Imaging of Head Trauma Part 2: Pathology Rathachai Kaewlai, MD www.RadiologyInThai.com Created: December 2006 1 
  • 2. 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  Hydrocephalus  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 term complications) 2