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    Neuroradiology: Sony Sutrisno Department of Radiology Krida Wacana Christian University

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    Paulus Anung
    This document provides an overview of neuroradiology and various brain conditions that can be examined using CT and MRI scans. It discusses different scan views (axial, sagittal, coronal) and features (isodense, hypodense, hyperdense, enhancement). It then covers various pathologies including stroke (ischemic, hemorrhagic), tumors, infections, trauma (skull fractures, hemorrhages), and hydrocephalus. Key imaging findings and modalities are described for different conditions. Basic brain anatomy is also reviewed.

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    Neuroradiology: Sony Sutrisno Department of Radiology Krida Wacana Christian University

    Uploaded by

    Paulus Anung
    38 views46 pages
    This document provides an overview of neuroradiology and various brain conditions that can be examined using CT and MRI scans. It discusses different scan views (axial, sagittal, coronal) and features (isodense, hypodense, hyperdense, enhancement). It then covers various pathologies including stroke (ischemic, hemorrhagic), tumors, infections, trauma (skull fractures, hemorrhages), and hydrocephalus. Key imaging findings and modalities are described for different conditions. Basic brain anatomy is also reviewed.

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    Neuroradiology Blok 22.pptx

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    This document provides an overview of neuroradiology and various brain conditions that can be examined using CT and MRI scans. It discusses different scan views (axial, sagittal, coronal) and features (isodense, hypodense, hyperdense, enhancement). It then covers various pathologies including stroke (ischemic, hemorrhagic), tumors, infections, trauma (skull fractures, hemorrhages), and hydrocephalus. Key imaging findings and modalities are described for different conditions. Basic brain anatomy is also reviewed.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    38 views46 pages

    Neuroradiology: Sony Sutrisno Department of Radiology Krida Wacana Christian University

    Uploaded by

    Paulus Anung
    This document provides an overview of neuroradiology and various brain conditions that can be examined using CT and MRI scans. It discusses different scan views (axial, sagittal, coronal) and features (isodense, hypodense, hyperdense, enhancement). It then covers various pathologies including stroke (ischemic, hemorrhagic), tumors, infections, trauma (skull fractures, hemorrhages), and hydrocephalus. Key imaging findings and modalities are described for different conditions. Basic brain anatomy is also reviewed.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 46

    Neuroradiology

    Sony Sutrisno
    Department of Radiology
    Krida Wacana Christian University
    CT- Scan
    • Axial / Sagital / Coronal
    • Isodens
    • Hypodens
    • Hyperdens
    • Enhancement
    Sagital Coronal Axial
    Hypodens
    Hyperdens
    Enhancement
    Anatomy
    • CC = Corpus Callosum
    • L = Ventricle Lateral
    • C = Nucleus Caudatus
    • G = Globus Pallidus
    • P = Putamen
    • 3 = Third Ventricle
    • T = Thalamus
    • A = Auditory Radian
    • O = Optic Radian
    Anatomy
    Cerebro Spinal Fluid
    What GP should know?
    Non-trauma Trauma
    • Stroke • Skull fracture
    – Ischemic • Contusio
    – Hemorrhagic • Subdural Hematoma (SDH)
    • Intracerebral • Epidural Hematoma (EDH)
    Hemorrhage (ICH)
    • Subarachnoid
    Hemorrhage (SAH)
    • SOLs
    – Neoplasm
    – Infection (Abscess)
    Edema Cerebri
    The presence and extent of the ischemic penumbra are time-
    dependent, but are especially patient- dependent
    Golden Period : generally less than 6 hours, less than 3 hours is
    better)
    As basis to do or not to do “Thrombolytic therapy”
    Imaging modalities : CT-scan & MRI (better)
    MRI (DWI seq)  more sensitive (esp. hyperacute setting)
    Conventional Radiography has NO ROLE!
    Infarct / Ischemic stroke
    • Spontaneous hemorrhage: 10-15% of stroke (US)
    • Typically parenchymal, but also may involve
    primarily subarachnoid spaces (SAH)
    • Spontaneous SAH mostly caused by aneurismal
    rupture
    • Imaging modalities : CT-scan (primary) and MRI
    • CT-scan : rapid, widely available and sensitive (for
    acute bleeding, appear as hyperdense lesion)
    • MRI : differentiate acute and chronic bleeding,
    deeper investigation for the causal
    Hemorrhagic Stroke
    Rupture of meningeal artery
    Imaging of choice is CT-scan, appears
    as convex hyperdense area
    Beware of herniation!
    Epidural Hematoma
    Rupture of bridging vein: Imaging of choice is CT-scan,
    appears as concave hyperdense area
    Subdural Hematoma
    Subarachnoid Hemorrage
    Intraventricular Hemorrhagic
    Brain and Bone Window
    • The disease itself is not true “emergency”
    • Could be caused by neoplasm or infection (abscess)
    • Mass effect could cause herniation & hydrocephalus!
     the emergency part
    • Malignant neoplasm (ex. GBM) often has greater mass effect
    than benign one (ex. meningioma)
    • Imaging modalities : CT or MRI (better) + CONTRAST!
    • Contrast media gives better mass delineation &
    characterization
    Type of Herniation
    Hydrocephalus
    • Communican
    • Non communican
    • CSF Flow
    Hydrocephalus
    Hydrocephalus
    Meningitis
    Abcess
    QUIZ
    Schedel AP Lateral
    Thank You

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