2. DEFINICION
EL TRAUMATISMO CRANEOENCEFALICO
ES LA LESION DIRECTA DE ESTRUCTURAS
CRANEALES, ENCEFALICAS O
MENINGEAS, QUE SE PRESENTAN COMO
CONSECUENCIA DEL EFECTO MECANICO,
PROVOCADO POR UN AGENTE FISICO
EXTERNO, EL CUAL ORIGINA UN
DETERIORO FUNCIONAL DEL CEREBRO.
Anzai Yoshimi, Fink Kathleen R. Imaging of Traumatic Brain Injuries. 2015. Edit Thieme.
3.
4. 1. Anzai Yoshimi, Fink Kathleen R. Imaging of Traumatic Brain Injuries. 2015. Edit Thieme.
2. Smith Mariom MD, et al. Minor Head Injury: Guidelines for the use the CT. A multicenter validation study. Radiology. Dec 2007 . Vol 45 Num 3. Pag: 831-838.
3. Osborne Anne G, et al. Brain Diagnostic Imaging. 2011. Edit Marban.
ESCALAS CLINICAS PARA
REALIZACION DE UNA TAC EN TCE
5. DESVIACION DE LA LINEA
MEDIA
CISTERNAS BASALES
SANGRADO
INTRAVENTRICULAR
HEMORRAGIA
SUBARACNOIDEA
LESIONES:
1. HEMATOMA EPIDURAL.
2. HEMATOMA SUBDURAL
3. HEMATOMA
PARENQUIMATOSA.
4. CONTUSION CEREBRAL.
Mass Andrew I. R. MD, et al. Prediction of Outcome in Traumatic Brain Injury with Computed Tomographic Characteristics: A comparation
between the CT Clasification and combinations of CT Predictors. Neurosurgery. December 2005. Vol 57, Num 8. Pag:1173-1182.
41. CONCLUSION
EL MEDICO RADIOLOGO DEBE REPORTAR
TODO LO RELEVANTE EN LOS PACIENTES CON
TCE, EN BASE A GUIAS Y CLASIFICACIONES
CLINICAS Y RADIOLOGICAS PARA CONOCER
PACIENTES CANDIDATOS A EVACUACION
QUIRURGICA DE EMERGENCIA.
Various skull fractures. (a) Linear fracture, (b) depressed fracture, (c) comminuted fracture, (d) diastatic fracture, (e) diastatic fracture involving the right occipitomastoid suture. Three-dimensional volumetric image provides an excellent overview of fracture configuration and alignment, which helps surgical planning. skull
This 5-month-old child was the victim of abusive head trauma at 2 months of age that resulted in a parietal skull fracture and parenchymal contusion (not shown). Follow-up axial noncontrast CT (a) shows an area of low-densit y encephalomalacia protruding through a prominent skull defect at the site of prior fracture. Surface-rendered three-dimensional image (b) shows the bone defect situated within the fracture line (ARROWS) consistent with a leptomeningeal cyst and pseudomyelomeningo
HOFFER PAG 54 HEMATOMA SUBDURAL
Transtentorial herniation: supratentorial mass effect (cause not shown) pushes the supratentorial brain through the incisura (arrow) into the posterior fossa. Tonsillar herniation: the cerebellar tonsils descend with increasing intracranial pressure, resulting in crowding of the foramen magnum (arrowheads).