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BASIC CT BRAIN ANATOMY
BY:
Dr, WALAA SALAH MANAA
SPECIALEST OF PEDIATRIC
‫ر‬‫ر‬‫ر‬‫ر‬‫ر‬‫ر‬‫ر‬‫ر‬‫ر‬‫ر‬‫ر‬‫ر‬‫ر‬‫ر‬‫ر‬‫ر‬‫ر‬
‫ر‬‫ر‬‫ر‬‫ر‬‫ر‬‫ر‬
Brain Anatomy
Systemic Approach to Head CT
Interpretation
• Symmetry – Compare left and right side of the cranium
• Midline – Look for midline shift
• Cross-sectional anatomy – Review anatomical landmark for
each slide
– Brain tissue : gray matter, white matter , intracerebral lesions
– CSF space : ventricle, basal cistern, cortical sulci, fissure
– Skull and soft tissue : scalp swelling, fractures, sinuses, orbit
• Subdural windows : Look for blood collection adjacent to the
skull
• Bone windows : Skull, orbit and sinuses, intracranial air
Lateral View of Brain
Ventricular System
Cross-sectional Anatomy
• Grey/White interface, Subcortical white matter
Lateral View of Brain
Cross-sectional Anatomy
• Paired of crescent-shape = Twin bananas
Lateral View of Brain
Cross-sectional Anatomy
Basal ganglia
Lateral View of Brain
Cross-sectional Anatomy
• Third ventricle, Basal ganglia, Superior cerebellar cistern
Hydrocephalous
Physiologic Calcification
Lateral View of Brain
Cross-sectional Anatomy
Cross-sectional Anatomy
Cross-sectional Anatomy
Subarachnoid hemorrhage
Lateral View of Brain
Cross-sectional Anatomy
• Base of skull, Midline bony prominence,
• Prepontine cistern, Pretrous bone, Frontal sinus
Cross-sectional Anatomy
• Orbits, Ethmoid air cell
The End…

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