Neuroradiological Diagnosis of Craniocerebral Trauma: Current Concepts

  • Paul M. Parizel
  • C. Douglas Phillips


When computed tomography (CT) scanning is available, plain skull films contribute little or no additional information in the clinical management of the acute trauma patient. Traditionally, X-ray films of the skull have been used to detect skull fractures, intracranial mass effect (“pineal shift”), air-fluid levels, foreign objects (metal, glass, projectile fragments, etc.). However, the diagnostic yield of plain X-ray films is low because there is poor correlation between skull fractures and intracranial injury. The old saying has never been truer: “it doesn’t matter if the shell is cracked, only if the egg is scrambled”.


Traumatic Brain Injury Skull Fracture Superior Ophthalmic Vein Craniocerebral Trauma Cerebral Contusion 
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Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Paul M. Parizel
    • 1
  • C. Douglas Phillips
    • 2
  1. 1.Department of RadiologyUniversity of AntwerpAntwerpBelgium
  2. 2.Department of RadiologyUniversity of Virginia Health SystemCharlottesvilleUSA

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