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Critical Imaging Diagnoses: - Radiology

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MR and CT <strong>Imaging</strong> Checklists<br />

• Anatomic Locations<br />

– Sagittal Images<br />

• Sup. Sag. Sinus<br />

• Corpus Callosum<br />

• Sella Region<br />

• Clivus<br />

– Axial Images<br />

• Skull, Epi/Sub Dural<br />

• SAS<br />

• Cortical Gray Matter<br />

• White Matter<br />

• Deep Gray Matter<br />

• Ventricles<br />

2 y.o. with Lethargy<br />

Child Abuse?<br />

MR and CT <strong>Imaging</strong> Checklists<br />

• Anatomic Locations<br />

– Sagittal Images<br />

• Sup. Sag. Sinus<br />

• Corpus Callosum<br />

• Sella Region<br />

• Clivus<br />

– Axial Images<br />

• Skull, Epi/Sub Dural<br />

• SAS<br />

• Cortical Gray Matter<br />

• White Matter<br />

• Deep Gray Matter<br />

• Ventricles<br />

Headache, Kernig & Brudzinski+<br />

History<br />

• 42 y.o. . woman with acute onset of:<br />

– “the worst headache of my life”<br />

• No papilledema<br />

• Kernig Sign +<br />

• Brudzinski Sign +<br />

Kernig sign: Pain elicited by<br />

straightening the knee with the<br />

hip/thigh flexed.<br />

Brudzinski sign: Pain and/or rigidity<br />

with simultaneous neck and knee/hip<br />

flexion.<br />

ICA Aneurysm<br />

ICA Aneurysm

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