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TRAUMATISMO
CRANEOENCEFALICO
EN IMAGEN
DR. RENAN BAQUEIRO CANTO
MEDICO RESIDENTE DE RADIOLOGIA E IMAGEN (R3)
DR. JOSE MARIA OROZCO MEDINA
TUTOR DEL CURSO DE URGENCIAS EN IMAGEN
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.
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
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.
CLASIFICACION DEL TRAUMATISMO
CRANEOENCEFALICO
LESIONES
FOCALES
LESIONES
DIFUSAS
LESIONES
SECUNDARIAS
LESIONES
PRIMARIAS
TRAUMA
ABIERTO
TRAUMA
CERRADO
Hagga R. John, et al. TC y RM. Diagnostic Imaging Human Body. 2011. Edit Elsevier.
LESIONES
PRIMARIAS
LESIONES PRIMARIAS DEL TCE
Anzai Yoshimi, Fink Kathleen R. Imaging of Traumatic Brain Injuries. 2015. Edit Thieme.
FRACTURAS
DE CRANEO
HEMATOMAS:
 EPIDURAL
 SUBDURAL
 INTRAPARENQUIMATOSO
Braun, J MD, et al. Acute subdural hematoma Mimicking Epidural hematoma in CT. AJNR. 1997.
EPI
SUB
H. Ric Harnsberger, MD, et al. Diagnostic and Surgical. Imaging Anatomy. Brain. Head and Neck. 2010. 5ª. Edit.
HEMORRAGIA
SUBARACNOIDEA
CONTUSION
CEREBRAL
LESIONES
SECUNDARIAS
EDEMA
CEREBRAL
1.VASOGENICO
2.CITOTOXICO
3.INTERSTICIAL
HERNIACIONES
CEREBRALES
• HERNIA SULFALCINA
• HERNIA UNCAL
• HERNIAS
TRANSALARES
• HERNIAS
TRANSDURALES
HERNIA
SULFALCINA
HERNIA UNCAL
O
TRANSTENTORIAL
DESCENDENTE
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.
GRACIAS

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Expo traumatismo craneoencefalico en imagen slide

Editor's Notes

  1. 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
  2. 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
  3. HOFFER PAG 54 HEMATOMA SUBDURAL
  4. 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).