Clinical Approach To CT Brain
Clinical Approach To CT Brain
Sir
HISTORY OF CT
Allan
Godfrey
Cormack
Hounsfield
Dr. William H.
Oldendorf
DISCLAIMER
CT BRAIN for today,
ENT sinuses, sagittal/coronal views, base of skull etc
May be topics for another time only briefly
OUR OBJECTIVES
and no…. No MRIs
Common Indications:
1. Polytrauma
2. Altered GCS
3. Headache with W/S
4. Seizure
5. T.B.I.
6. Neurological Deficits
7. Raised ICP
8. Basal Skull #
9. Hypoxia
Isodense
Hypodense
Tackling:
+ Anatomy?
+ Level?
+ Structures?
Right
Frontotemporal
Ischemia
Right
Frontal Lobe
MCA ischemia
involving the caudate
nucleus
Acute on Chronic
Subdural
Hematoma
Hydrocephalus
Cerebral Abscess
@ Right
Temporal Lobe
Intracranial Tumour
@ Right Fronto-
Parietal Region
(Metastasis)
before and after
contrast
EDEMA TYPES
CYTOTOXIC VASOGENIC
CELL DEATH BBB Involvement
Both White Grey White Matter
Involvement Grey finger-like
projections
Seen in:
Ischemia Seen in:
Hypoxia Tumours
(ATP Depletion) Trauma
Infarct
Hydrocephalus
50 years old
gentleman, H/O
Hypertension Acute
3 days Rt Hand Pontine Hemorrhage
Weakness and
Dizziness