Head Injuries

  • Claudia Lucia Piccolo
  • Alessia De Marco
  • Nicola Maggialetti
  • Marcello Zappia
  • Raffaella Capasso
  • Serena Schipani
  • Ferdinando Caranci
  • Luca Brunese


Traumatic brain injuries (TBIs) are a significant cause of morbidity and mortality in blunt traumatic patients. They are responsible for one-third of all injury-related deaths, whereas patients who survive may develop severe debilitating long-term sequelae.

Computed tomography (CT) is the first imaging technique of choice to evaluate a potential brain injury in the acute setting, mainly because it is rapidly available, fast, compatible with life-support devices, and really sensitive to detect neurosurgical emergencies. In fact it helps to detect acute hemorrhages and hemorrhagic contusions, although it has some limits to recognize some parenchymal injuries, such as diffuse axonal injury, brainstem injury, and deep gray matter trauma.

On the other hand, MRI can serve as a problem-solving tool, since, owing to its higher contrast resolution for soft tissues, it is by far more capable than CT to detect all the stages of the hemorrhage, diffuse axonal injury, small subdural collections (the only indicator of child abuse), and ischemia.

In this chapter the authors review the imaging of the common intracranial injuries, comparing the ability of CT and MRI in different settings.


Trauma Trauma imaging Head trauma Computed tomography (CT) Magnetic resonance imaging (MR) 


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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Claudia Lucia Piccolo
    • 1
  • Alessia De Marco
    • 1
  • Nicola Maggialetti
    • 1
  • Marcello Zappia
    • 1
  • Raffaella Capasso
    • 1
  • Serena Schipani
    • 1
  • Ferdinando Caranci
    • 1
  • Luca Brunese
    • 1
  1. 1.Department of Medicine and Health SciencesUniversity of MoliseCampobassoItaly

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