1. Imaging of Head Trauma
Part 2: Pathology
Rathachai Kaewlai, MD
www.RadiologyInThai.com
Created: December 2006
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2. Checklist for Trauma Brain CT
 Have 3 different windows to look for different pathology (brain, subdural and bone windows)
 First image includes foramen magnum
 Look first for the pathology that needs emergent Rx
 Hydrocephalus
 Look for primary pathology (hemorrhage in different compartments)
 Look for secondary pathology (brain herniation, midline shift)
 Look at the mastoid and sphenoid sinuses for hemorrhage which implies skull base fractures
 Look at temporomandibular joints for fracture and/or dislocation (this pathology causes significant long
term complications)
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