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CT and MR imaging of acute cranial trauma

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Abstract

A wide variety of imaging findings can be seen in the setting of acute head trauma. The purpose of this manuscript is to review the major computed tomography and magnetic resonance imaging findings of various types of traumatic head injuries with the intent of providing the reader with a means to diagnose these lesions quickly and accurately.

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References

  1. Bruce DA (2000) Imaging after head trauma: why, when and which. Childs Nerv Syst 16:755–759

    Article  PubMed  CAS  Google Scholar 

  2. Stein SC, Burnett MG, Glick HA (2006) Indications for CT scanning in mild traumatic brain injury: a cost-effectiveness study. J Trauma 61:558–566

    PubMed  Google Scholar 

  3. Ingebrigtsen T, Romner B (1996) Routine early CT-scan is cost saving after minor head injury. Acta Neurol Scand 93:207–210

    Article  PubMed  CAS  Google Scholar 

  4. de Bruïne FT, Spilt A, Van Erkel AR, MA (1999) Choosing radiological modalities in patients with head trauma. Emerg Radiol 6:327–329

    Article  Google Scholar 

  5. Servadei F, Ciucci G, Loroni L, Cuscini M, Piola C, Arista A (1995) Diagnosis and management of minor head trauma: a regional multicenter approach in Italy. J Trauma 39:701–969

    Google Scholar 

  6. Haydel MJ, Preston CA, Mills TJ, Luber S, Blaudeau E, DeBlieux PM (2000) Indications for computed tomography in patients with minor head injury. N Engl J Med 343:100–105

    Article  PubMed  CAS  Google Scholar 

  7. Stiell IG, Wells GA, Vandemheen K et al (2001) The Canadian CT Head Rule for patients with minor head injury. Lancet 357:1391–1396

    Article  PubMed  CAS  Google Scholar 

  8. Kim KA, Wang MY, Griffith PM, Summers S, Levy ML (2000) Analysis of pediatric head injury from falls. Neurosurg Focus 8:e3

    Article  PubMed  CAS  Google Scholar 

  9. Singh J, Stock A (2006) Head trauma. http://www.emedicine.com/ped/topic929.htm

  10. Stanton DC, Kempers KG, Hendler BH, Cutilli BJ, Hurst RW (1999) Posttraumatic carotid-cavernous sinus fistula. J Craniomaxillofac Trauma 5:39–44

    PubMed  CAS  Google Scholar 

  11. Coskun O, Hamon M, Catroux G, Gosme L, Courtheoux P, Theron J (2000) Carotid-cavernous fistulas: diagnosis with spiral CT angiography. Am J Neuroradiol 21:712–716

    PubMed  CAS  Google Scholar 

  12. Chen CC, Chang PC, Shy CG, Chen WS, Hung HC (2005) CT angiography and MR angiography in the evaluation of carotid cavernous sinus fistula prior to embolization: a comparison of techniques. Am J Neuroradiol 26:2349–2356

    PubMed  Google Scholar 

  13. Provenzale JM (1995) Dissection of the internal carotid and vertebral arteries: Imaging findings. Am J Roentgenol 165:1099–1104

    CAS  Google Scholar 

  14. York G, Petrella JR, Barboriak DP, Delong DM, Provenzale JM (2005) Association of internal carotid artery injury with carotid fractures in head trauma patients. Am J Roentgenol 184:1672–1678

    Google Scholar 

  15. Smith WP, Batnitzky S, Rengachary SS (1981) Acute isodense subdural hematomas: A problem in anemic patients. Am J Neuroradiol 2:37–40

    Google Scholar 

  16. Gentry LR, Godersky JC, Thompson B, Dunn VD (1988) Prospective comparative study of intermediate field MR and CT in the evaluation of closed head trauma. Am J Neuroradiol 9:91–100

    Google Scholar 

  17. Keeney SE, Adcock EW, McArdle CB (1991) Prospective observations of 100 high-risk neonates by high-field (1.5 Tesla) magnetic resonance imaging of the central nervous system. I. Intraventricular and extracerebral lesions. Pediatrics 87:421–430

    PubMed  CAS  Google Scholar 

  18. Wiesmann M, Mayer TE, Yousry I, Medele R, Hamann GF, Bruckmann H (2002) Detection of hyperacute subarachnoid hemorrhage of the brain by using magnetic resonance imaging. J Neurosurg 96:684–689

    Article  PubMed  Google Scholar 

  19. Given CA 2nd, Burdette J, Elster AD, Williams DW 3rd (2003) Pseudo-subarachnoid hemorrhage: a potential imaging pitfall associated with diffuse cerebral edema. Am J Neuroradiol 24:254–256

    PubMed  Google Scholar 

  20. Gentry LR, Godersky JC, Thompson BH (1988) MR imaging of head trauma: review of the distribution and radiopathologic features of traumatic lesions. Am J Roentgenol 150:663–672

    CAS  Google Scholar 

  21. Gentry LR (1991) Primary neuronal injuries. Neuroimaging Clin N Am 1:411–432

    Google Scholar 

  22. Liang L, Korogi Y, Sugahara T et al (1999) Detection of intracranial hemorrhage with susceptibility-weighted MR sequences. Am J Neuroradiol 20:1527–1534

    PubMed  CAS  Google Scholar 

  23. Adams JH, Graham DI, Murray LS et al (1982) Diffuse axonal injury due to nonmissle head injury in humans: an analysis of 45 cases. Ann Neurol 12:557–563

    Article  PubMed  CAS  Google Scholar 

  24. Meythaler JM, Peduzzi JD, Eleftheriou E, Novack TA (2001) Current concepts: diffuse axonal injury-associated traumatic brain injury. Arch Phys Med Rehabil 82:1461–1471

    Article  PubMed  CAS  Google Scholar 

  25. Tong KA, Ashwal S, Holshouser BA et al (2003) Hemorrhagic shearing lesions in children and adolescents with posttraumatic diffuse axonal injury: improved detection and initial results. Radiology 227:332–339

    PubMed  Google Scholar 

  26. Kinoshita T, Moritani T, Hiwatashi A et al (2005) Conspicuity of diffuse axonal injury lesions on diffusion-weighted MR imaging. Eur J Radiol 56:5–11

    Article  PubMed  Google Scholar 

  27. Schaefer PW, Huisman TA, Sorensen AG, Gonzalez RG, Schwamm LG (2004) Diffusion-weighted MR imaging in closed head injury: high correlation with initial Glasgow coma scale score and score on modified Rankin scale at discharge. Radiology 233:58–66

    PubMed  Google Scholar 

  28. Hoelper BM, Soldner F, Chone L, Wallenfang T (2000) Effect of intracerebral lesions detected in early MRI on outcome after acute brain injury. Acta Neurochir Suppl 76:265–267

    PubMed  CAS  Google Scholar 

  29. Wedekind C, Hesselmann V, Lippert-Grüner M, Ebel M (2002) Trauma to the pontomesencephalic brainstem-a major clue to the prognosis of severe traumatic brain injury. Br J Neurosurg 16:256–260

    Article  PubMed  CAS  Google Scholar 

  30. Gentry LR, Godersky JC, Thompson B (1989) Traumatic brainstem injury: MR imaging. Radiology 171:177–187

    PubMed  CAS  Google Scholar 

  31. Firsching R, Woischneck D, Klein S, Ludwig K, Dohring W (2002) Brain stem lesions after head injury. Neurol Res 24:145–146

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Radiology, Duke University Medical Center, Box 3808, Durham, NC, 27710, USA

    James Provenzale

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  1. James Provenzale
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Correspondence to James Provenzale.

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Provenzale, J. CT and MR imaging of acute cranial trauma. Emerg Radiol 14, 1–12 (2007). https://doi.org/10.1007/s10140-007-0587-z

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  • DOI: https://doi.org/10.1007/s10140-007-0587-z

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