Interpretation of Emergency Head CT: A Practical Handbook

Description:

This easy-to-read Handbook offers clinicians a practical system for interpreting emergency head CT. This image driven book covers a wide spectrum of conditions likely to be encountered in everyday clinical practice. Practical tips for recognizing subtle pathology, through to the more obvious, are supplemented by easy-to-interpret diagrams. New topics have been added since the first edition, including trauma CT cervical spine interpretation, and an up-to-date section on acute stroke. In addition to the clinical chapters, this Handbook provides simplified technical details, and a brief historical background, making it an excellent reference manual and learning aide for all clinicians with an interest in emergency CT head interpretation.

Table of Contents:

Section 1

Fundamentals of Computed Tomography Imaging

History

Technical Details

Windowing and Grey-scale

Tissue Characteristics and Contrast Medium

Image Artefacts

Important Anatomical Considerations

Review of Normal Axial Anatomy

Review of Normal Coronal Anatomy

Review of Normal Sagittal Anatomy

Review of Normal Bony Axial Anatomy

Review of Normal Bony Coronal Anatomy

Review of Surface-rendered Bony Anatomy

Review of Vascular Territories

Review of Vascular Anatomy

Section 2

Reviewing a CT Scan

1 Acute Stroke

2 Subdural Haematoma (SDH)

3 Extradural/Epidural Haematoma

4 Subarachnoid Haemorrhage

5 Traumatic Parenchymal Brain Injury

6 Cerebral Venous Sinus Thrombosis

7 Hypoxic–Ischaemic Injury (HII)

8 Skull Fractures

9 Raised Intracranial Pressure

10 Hydrocephalus

11 Meningitis

12 Cerebral Abscess

13 Arteriovenous Malformation

14 Solitary Lesions

15 Multiple Lesions

16 Neck Vessel Dissection

Section 3

Cervical Spine

‘ABCs’ Approach to Interpreting Multiplanar Reformats of the CT Cervical Spine

Types of Spine Fractures

Types of Cervical Spine Fractures

Section 4

Self-assessment Section

Self-assessment – Answers

Appendices

Appendix 1 ABCD[sup(2)] Scoring System

Appendix 2 ROSIER Score

Appendix 3 NICE Acute Stroke Flow Pathway

Appendix 4 Glasgow Coma Scale (GCS) Assessment

Appendix 5 NICE Guideline for Adult CT Head

Appendix 6 NICE Guideline for Adult CT Neck

Appendix 7 NICE Guideline for Paediatric CT Head

Appendix 8 NICE Guideline for Paediatric CT Neck

Appendix 9 Information Required Prior to Neurosurgical Transfer

Appendix 10 Differential Diagnosis for Intracerebral Lesions