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Neuroradiological Diagnosis of Craniocerebral Trauma: Current Concepts

  • Paul M. Parizel
  • C. Douglas Phillips

Abstract

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”.

Keywords

Traumatic Brain Injury Skull Fracture Superior Ophthalmic Vein Craniocerebral Trauma Cerebral Contusion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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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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