800 likes | 1.03k Views
IN THE NAME OF ALLAH THE MOST MERCIFUL, THE MOST KIND. “Blessed is He in Whose hand is the Sovereignty, and He is Able to do all things Who hath created life and death that He may try you, which of you is best in conduct; and He is the Mighty, Forgiving,” ………………(67:1-2).
E N D
IN THE NAME OF ALLAH THE MOST MERCIFUL,THE MOST KIND • “Blessed is He in Whose hand is the Sovereignty, and He is Able to do all things • Who hath created life and death that He may try you, which of you is best in conduct; and He is the Mighty, Forgiving,” ………………(67:1-2)
IMAGING of Head / Brain Dr. RashedNazir
IMAGING of Head / Brain • What to image • How to image / imaging modalities
INDICATIONS • The presence of a palpable vault abnormality which feels bony. • As part of an imaging protocol for specific clinical problems after discussion with radiologists e.g. skeletal survey for myeloma. • Facial views are of use following trauma to facial skeleton or mandible. • Facial views may be of use following trauma to the orbit, or possibility of metallic foreign body
INDICATIONS • Trauma: haemorrhages, brain contusions and skull fractures. • Stroke • Brain tumors. • Hydrocephalus • Infections (encephalitis, abscesses)
White matter diseases (Demyelinating / dysmyelinating e.g. MS, leukodystrophy) • Diseases of the temporal bone. • Determine whether inflammation or other changes are present in the paranasal sinuses. • Plan radiation therapy for cancer of the brain or other tissues. • Guide biopsies. • Assess aneurysms or AVM
Extradural Haematoma Occurs when vessel (middle meningeal artery) in the extradural space is torn by trauma.
Subdural Haematoma Also due to traumatic bleed into potential space between the dura and arachnoid mater, when a bridging vein is torn. Can extend into the interhemispheric fissure and the root of the sylvian fissure but not into other sulci.
Subarachnoid Haemorrhage Occurs into the subarachnoid space from spontaneous or traumatic rupture of, usually an artery, in this space. Blood can then be seen in the cisterns and extending into the sulci and fissures on the brain surface close to the site of bleeding.