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Dr.Fahad Al Bader
 ABCS
 1-Alignment
 2-Bone integrity
 3-Cartilage spaces (disc spaces, atlanto-axial space)
 4-Soft tissues
(prevetebral space 30% C3 100% C7)
 When reading a spinal x ray look for:
 Alignment and Sulbluxation
 Paravertebral swelling
 Collapsed vertebra
 Spondylolysis
 Spondylolisthesis
 Retrolisthesis
Neck : pars interarticularis
eye : pedicle
hindlegs : spinous process
nose : transverse process
ear : superior articular facet
forelegs : inferior articular facet
 1-Site of the lesion : Intra or extra axial
 2- ventricles
 3-skull and orbit
 1-pineal gland
 2-choroid plexus
 3-basal ganglia
 Acute Hematoma
 Look for fractures
 Is the patient hypertensive?
Epidural
 Young Men (20-40's)
– Head Trauma frequent
– Also, dura (periosteum)
more adherent in older people
 Acute presentation
 Skull fracture (90%)
 Bi-convex, hyperdense-
limited by sutures.
 Arterial (meningeal vessels)
Subdural
 Acute to Chronic
 Older age group
 Concave layer
 Fracture +/-
 Cross sutures
 Venous (bridging veins)
 Subfalcine : the innermost part of the frontal lobe is
scraped under part of the falx cerebri. Cingulate herniation can
be caused when one hemisphere swells and pushes
the cingulate gyrus by the falx cerebri
 Uncal: the innermost part of the temporal lobe, the uncus,
can be squeezed so much that it goes by the tentorium and
puts pressure on the brainstem, most notably the midbrain
 Vasogenic: Due to a breakdown of tight endothelial junctions
which make up the blood-brain barrier (BBB)
- hydrostatic (malignant HTN)
- brain cancer (VEGFdexamethasone)
- high altitude
 Cytotoxic : - the BBB remains intact
- it is due to the derangement in the celllar metabolism
- inadequate functioning of the Na and K pump
-various intoxications (dinitrophenol, triethyltin, hexachlorophene, isoniazid)
-Reye's syndrome,
-severe hypothermia,
-early ischemia,
-encephalopathy, early stroke or hypoxia, cardiac arrest, pseudotumor cerebri, and
cerebral toxins.

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1- spine and brase techniques has specific indications, procedures, and potential risks, ain injury.pptx

  • 2.
  • 3.
  • 4.  ABCS  1-Alignment  2-Bone integrity  3-Cartilage spaces (disc spaces, atlanto-axial space)  4-Soft tissues (prevetebral space 30% C3 100% C7)
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.  When reading a spinal x ray look for:  Alignment and Sulbluxation  Paravertebral swelling  Collapsed vertebra  Spondylolysis  Spondylolisthesis  Retrolisthesis
  • 14.
  • 15. Neck : pars interarticularis eye : pedicle hindlegs : spinous process nose : transverse process ear : superior articular facet forelegs : inferior articular facet
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.  1-Site of the lesion : Intra or extra axial  2- ventricles  3-skull and orbit
  • 31.  1-pineal gland  2-choroid plexus  3-basal ganglia
  • 32.  Acute Hematoma  Look for fractures  Is the patient hypertensive?
  • 33.
  • 34. Epidural  Young Men (20-40's) – Head Trauma frequent – Also, dura (periosteum) more adherent in older people  Acute presentation  Skull fracture (90%)  Bi-convex, hyperdense- limited by sutures.  Arterial (meningeal vessels) Subdural  Acute to Chronic  Older age group  Concave layer  Fracture +/-  Cross sutures  Venous (bridging veins)
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.  Subfalcine : the innermost part of the frontal lobe is scraped under part of the falx cerebri. Cingulate herniation can be caused when one hemisphere swells and pushes the cingulate gyrus by the falx cerebri  Uncal: the innermost part of the temporal lobe, the uncus, can be squeezed so much that it goes by the tentorium and puts pressure on the brainstem, most notably the midbrain
  • 41.
  • 42.
  • 43.
  • 44.  Vasogenic: Due to a breakdown of tight endothelial junctions which make up the blood-brain barrier (BBB) - hydrostatic (malignant HTN) - brain cancer (VEGFdexamethasone) - high altitude  Cytotoxic : - the BBB remains intact - it is due to the derangement in the celllar metabolism - inadequate functioning of the Na and K pump -various intoxications (dinitrophenol, triethyltin, hexachlorophene, isoniazid) -Reye's syndrome, -severe hypothermia, -early ischemia, -encephalopathy, early stroke or hypoxia, cardiac arrest, pseudotumor cerebri, and cerebral toxins.