Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.
Head Injury & Head CT

Paleerat Jariyakanjana, MD
Faculty of Medicine, Naresuan University
25 Oct 2013
2008
head injured patient



Low risk

Moderate risk

Asymptomatic Vomiting
GCS 15
Loss of consciousness
No headache Diffuse headache
Post-traumatic am...
HEAD CT
Trauma
Trauma
Trauma
Trauma
Nontrauma
Acute stroke
 Cytotoxic edema
 Loss of gray/white matter differentiation
• Insular ribbon sign
• Disappearing basal gang...
Hypoattenuating brain tissue
Obscuration of the lentiform nucleus
Insular Ribbon sign
Dense MCA sign
Non-trauma
Basal ganglia haemorrhage
Nontrauma
Nontrauma
ANY QUESTIONS?
Head injury & head ct
Head injury & head ct
Head injury & head ct
Head injury & head ct
Head injury & head ct
Upcoming SlideShare
Loading in …5
×

Head injury & head ct

1,167 views

Published on

Published in: Health & Medicine
  • Be the first to comment

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?

×