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    CT Mbbs by DR Shamol

    Uploaded by

    Siva Sandeep Chennimalai
    The document discusses the anatomy seen on CT scans of the brain, including gray and white matter, lobes, ventricles, and brainstem structures. It describes common abnormalities seen such as hemorrhages, infarcts, tumors, infections and hydrocephalus. Key features discussed are differences in tissue density, the ventricular system, blood supply and stroke patterns, as well as how to identify and characterize various pathologies.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    CT Mbbs by DR Shamol

    Uploaded by

    Siva Sandeep Chennimalai
    433 views197 pages
    The document discusses the anatomy seen on CT scans of the brain, including gray and white matter, lobes, ventricles, and brainstem structures. It describes common abnormalities seen such as hemorrhages, infarcts, tumors, infections and hydrocephalus. Key features discussed are differences in tissue density, the ventricular system, blood supply and stroke patterns, as well as how to identify and characterize various pathologies.

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    This is a PDF of CT scan lecture by Dr shamol

    Original Title

    ct mbbs by Dr shamol

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    The document discusses the anatomy seen on CT scans of the brain, including gray and white matter, lobes, ventricles, and brainstem structures. It describes common abnormalities seen such as hemorrhages, infarcts, tumors, infections and hydrocephalus. Key features discussed are differences in tissue density, the ventricular system, blood supply and stroke patterns, as well as how to identify and characterize various pathologies.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    433 views197 pages

    CT Mbbs by DR Shamol

    Uploaded by

    Siva Sandeep Chennimalai
    The document discusses the anatomy seen on CT scans of the brain, including gray and white matter, lobes, ventricles, and brainstem structures. It describes common abnormalities seen such as hemorrhages, infarcts, tumors, infections and hydrocephalus. Key features discussed are differences in tissue density, the ventricular system, blood supply and stroke patterns, as well as how to identify and characterize various pathologies.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 197

    Gray and white matter

    Dura , pia , sub-arachnoid matter

    Gyrus and sulcus


    Cranial fossa
    Different lobe
    Brain stems
    Mid brain
    Pons
    Medulla
    M

    C--CEREBELLUME
    Sulcus
    Gyrus
    Here density means = whiteness
    Hypo dens = is black
    Normally found in CSF
    Abnormally is infarction
    Peri lesional edema
    Hyper density = bright white
    Normally found in the
    bone / calcification
    Abnormally hemorrhage
    Iso-dens= it is the colour in between
    black@ White
    Normally brain matter

    Rule of thumb is that‘ anything


    White in the CT scan is either blood
    or bone’.
    Identify the all the
    structure of
    CT-scan
    Window
    by
    Window
    CT scan have 5 row
    Each row have 4 window
    Start from section image of skull
    first
    Then ascend bottom to top
    Such as cervical cord  medulla
    Pons  mid brain --
    First row Second row

    Sinus
    Sinus

    Cervical Cervical
    cord cord
    Orbit
    Orbit

    Medulla
    Medulla

    Medulla

    Level of cross-section
    3rd & 4th row

    Midbrain Midbrain
    Pons
    Pons

    3rd
    Basal Lateral ventricle
    Ventrical
    Midbrain ganglia

    Level of cross-section
    Infundibulam

    Suprasaller cistern

    Mid brain
    Ventricular system
    Lateral ventricle
    Occipital horn
    Inferior horn of
    lateral ventricle 4th ventricle 3rd ventricle
    Cistern
    What will u look for during
    reading a CT can slide?
    •Any abnormality or dissimilarity
    between two half (right and left)
    •Any change density (hypo or
    hyper dense , mixed density )
    •Midline shifting
    •Ventricular effacement
    •Extra dural and sudural
    haematoma
    •Subarachnoid haemorrhage
    •Intraventricular haemorrhage
    •Ventricular dilatation (
    Hydrocephalus )
    Here density means = whiteness
    Hypo dens = is black
    Normally found in CSF
    Abnormally is infarction
    Peri lesional edema
    Hyper density = bright white
    Normally is the
    bone / calcification
    Abnormally hemorrhage
    Iso-dens= it is the colour in between black@ White
    Normally brain matter

    Rule of thumb is that‘ anythingWhite in the CT scan is


    either blood or bone’.
    Calcification
    U may see calcification in the ventricle.
    Two important site of calcification is
    Choroids plexus
    Pineal body calcification
    How will u differentiated between calcification from hemorrhage?
    Calcification has always equal density like Skull bone of corresponding
    film
    Hemorrhage slightly less hyper dens then skull bone of the
    corresponding film
    Blood supply
    Stroke
    Hemorrhagic stroke
    How will u calculate amount of
    blood in haematoma
    Intra-cerebral hematoma with out
    Ventricular extension
    Intra cerebra haematoma
    with ventricular extension
    Primary subarachnoid hemorrhage
    Blood is only in the ventricle or subarachnoid space or both but not in brain parenchyma :
    Intraventricular haemorrhage
    Sub-arachnoid haemorrhage
    Due rupture aneurysm
    Sub-dural heamatoma
    Extra-dural heamatoma
    HEMORRHAGE OUT SIDE THE BRAIN SUBSTANCE
    Two type
    •Extra dural haematoma (out side the dura matter )
    •Sub dural haematoma (below the dura or in between dura and arachnoid matter )

    Extra dural or epi dural ----Biconvex ---To remember X in extra- stand for X in convex
    Sub dural ----is crescentic or concavo-convex
    Acute subdural
    haemtoma
    Ring enhancing shadow
    1.Brain abscess
    2 secondaries
    3.tuberculoma
    BRAIN ABSCESS
    Cerebral metastases - CT brain
    Multiple lesions were seen on
    both sides of the brain in this
    patient who had a known
    diagnosis of lung cancer
    The post-contrast image (roll
    over image) shows ring
    enhancement of the lesions
    Meningioma
    Glioma
    tuberculoma
    Cerebral metastases - CT brain
    Multiple lesions were seen on both
    sides of the brain in this patient who
    had a known diagnosis of lung
    cancer
    The post-contrast image (roll over
    image) shows ring enhancement of
    the lesions
    Ventricular
    effacement
    Hydrocephalus
    Brain atrophy
    Hypoxic brain injury with cerebral
    edema
    Hypoxic brain injury with cerebral
    oedema
    The image shows striking loss of
    differentiation between grey and
    white matter structures due to
    generalised cerebral oedema
    The ventricles and sulci are very small
    for a patient of this age indicating
    generalised brain swelling

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