The Role of Imaging in Neuroradiology Emergencies

Session

Medicine and Nursing

Description

The neuroradiological emergency is diverse and divided into two main groups:

a) Traumatic b) Non-traumatic. In cranial trauma MSCT is ideal in trauma patients because we are able to detect both the fractures and the traumatic brain injuries, we are primarily interested in. CT is fast, reliable and now widely used as the primary examination in all trauma patients. Being a quick examination, it is also used well in patients in serious and comatose conditions. Routinely, we used 5 mm incision for the posterior fossa and then l0 mm starting from the suprasellar region. In order to perform these reconstructions well, we used thin slices in spiral CT (MSCT), usually from 1-3 mm, 3D images enable spatial visualization of the placement of bone fragments and fracture edges.

Magnetic resonance can be used in the subacute phase when the CT data does not justify the patient's condition, so the CT has left something undetected. This is usually observed in small damage to the structures of the posterior fossa (medulla oblongata, cerebellum, pons) or in petechial hemorrhages. The spine plays an important role. It should be noted that the patient's condition often does not allow obtaining clear images due to involuntary movements and the relatively long examination time. The usual MRI protocol in cranial trauma includes the following sequences: axial and sagittal T1 as well as axial T2, but when it is required to evaluate a subarachnoid hemorrhage, FLAIR is also used. Plain radiography appears to have no role in these patients. It is used as an orientation method for spine trauma.

Keywords:

CT, MRI, neuroradiology emergencies, Pristina.

Proceedings Editor

Edmond Hajrizi

ISBN

978-9951-550-50-5

Location

UBT Kampus, Lipjan

Start Date

29-10-2022 12:00 AM

End Date

30-10-2022 12:00 AM

DOI

10.33107/ubt-ic.2022.166

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Oct 29th, 12:00 AM Oct 30th, 12:00 AM

The Role of Imaging in Neuroradiology Emergencies

UBT Kampus, Lipjan

The neuroradiological emergency is diverse and divided into two main groups:

a) Traumatic b) Non-traumatic. In cranial trauma MSCT is ideal in trauma patients because we are able to detect both the fractures and the traumatic brain injuries, we are primarily interested in. CT is fast, reliable and now widely used as the primary examination in all trauma patients. Being a quick examination, it is also used well in patients in serious and comatose conditions. Routinely, we used 5 mm incision for the posterior fossa and then l0 mm starting from the suprasellar region. In order to perform these reconstructions well, we used thin slices in spiral CT (MSCT), usually from 1-3 mm, 3D images enable spatial visualization of the placement of bone fragments and fracture edges.

Magnetic resonance can be used in the subacute phase when the CT data does not justify the patient's condition, so the CT has left something undetected. This is usually observed in small damage to the structures of the posterior fossa (medulla oblongata, cerebellum, pons) or in petechial hemorrhages. The spine plays an important role. It should be noted that the patient's condition often does not allow obtaining clear images due to involuntary movements and the relatively long examination time. The usual MRI protocol in cranial trauma includes the following sequences: axial and sagittal T1 as well as axial T2, but when it is required to evaluate a subarachnoid hemorrhage, FLAIR is also used. Plain radiography appears to have no role in these patients. It is used as an orientation method for spine trauma.