← All decks

Radiology

Craniofacial Trauma

Built from Fundamentals of Diagnostic Radiology

The first 25 slides of Craniofacial Trauma
The first 25 slides, exactly as they appear. The full deck has 144 content slides.

What’s inside

3 sections · 144 slides

  1. 01

    Overview

    • Craniofacial trauma at a glance

    1 slide

  2. 02

    Head Trauma

    Imaging strategy, primary and secondary injury patterns, brainstem injury, penetrating trauma, outcome, and child abuse.

    • Initial imaging: CT first
    • Reading the trauma CT with multiple windows
    • The role of MRI
    • Where MRI outperforms CT
    • Vascular imaging, skull films, and decision rules
    • Scalp injury
    • Skull fractures
    • Depressed skull fracture
    • Depressed and compound fractures
    • Temporal bone fracture: presentation
    • Clues on a standard head CT
    • Pneumolabyrinth
    • Two ways to classify temporal bone fractures
    • Longitudinal temporal bone fractures
    • Longitudinal temporal bone fracture
    • Ossicular dislocation
    • Transverse temporal bone fractures
    • Otic capsule-violating temporal bone fracture
    • Otic capsule-sparing versus violating fractures
    • Primary versus secondary head injury
    • Primary lesions
    • Secondary lesions
    • Epidural hematoma
    • Epidural hematoma: lucid interval and venous forms
    • Epidural versus subdural hematoma
    • Epidural hematoma
    • Epidural hematoma on CT
    • Venous epidural hematomas
    • A heterogeneous epidural hematoma is a warning
    • Subdural hematoma
    • Subdural hematoma on CT
    • Acute subdural hematoma
    • How subdural density changes over time
    • Finding an isodense subdural hematoma
    • Subacute subdural hematoma
    • Subdural hematoma on MRI
    • Chronic subdural hematoma
    • Rebleeding and acute-on-chronic subdural hematoma
    • Subarachnoid hemorrhage
    • Subarachnoid hemorrhage
    • Subarachnoid hemorrhage on MRI
    • Subarachnoid hemorrhage on CT and FLAIR
    • When subarachnoid blood may not be traumatic
    • Intraventricular hemorrhage
    • Diffuse axonal injury
    • Diffuse axonal injury: clinical setting
    • Diffuse axonal injury on CT
    • Acute diffuse axonal injury
    • Diffuse axonal injury on MRI
    • Severe diffuse axonal injury
    • DAI location tracks injury severity
    • Chronic traumatic axonal injury on MRI
    • Why the corpus callosum is vulnerable
    • Cortical contusions
    • Cortical contusions on CT
    • Hemorrhagic cortical contusion
    • Cortical contusions on MRI and their sequelae
    • Intracerebral hematoma
    • Intracerebral hematoma
    • Subcortical gray matter injury
    • Traumatic cerebral vascular injuries
    • Carotid artery dissection
    • Posttraumatic pseudoaneurysm
    • Carotid cavernous fistula
    • Carotid cavernous fistula
    • Dural vascular fistulas
    • Coup and contrecoup injury
    • How force duration shapes the injury
    • Diffuse cerebral swelling: hyperemia or edema
    • Hyperemic brain swelling
    • Diffuse cerebral edema
    • Diffuse cerebral edema
    • Types of brain herniation
    • Types of brain herniation
    • Subfalcine herniation
    • Uncal herniation
    • Uncal herniation
    • Transtentorial, tonsillar, and external herniation
    • Hydrocephalus after trauma
    • Posttraumatic ischemia and infarction
    • Cerebrospinal fluid leak
    • CSF leak
    • Leptomeningeal cyst
    • Leptomeningeal cyst
    • Encephalomalacia
    • Primary brainstem injury
    • Primary brainstem injury
    • Secondary brainstem injury and Duret hemorrhage
    • Duret hemorrhage
    • Penetrating trauma
    • Gunshot wound
    • Gunshot wounds
    • Glasgow Coma Scale
    • Glasgow Coma Scale
    • Predicting outcome after head trauma
    • Child abuse: head injury
    • Shaken impact injury
    • Subdural hematoma in child abuse
    • Benign extra-axial fluid versus chronic subdural
    • Diffuse brain swelling in child abuse
    • Imaging the abused child

    101 slides

  3. 03

    Facial Trauma

    Imaging strategy, soft-tissue signs, and fractures of the nose, sinuses, orbits, zygoma, midface, nasoethmoid region, and mandible.

    • Facial imaging: CT first
    • Facial radiographs
    • Facial MRI and angiography
    • Soft-tissue signs of facial fracture
    • Other findings to check
    • Nasal fractures
    • Nasal films and septal hematoma
    • Maxillary alveolus and palate fractures
    • Palate fracture
    • Paranasal sinus fractures
    • Orbital wall fractures
    • Medial orbital wall fracture
    • Orbital floor blow-out fracture
    • Orbital floor fracture
    • Globe injury and intraocular foreign bodies
    • Globe trauma
    • Intraocular metallic foreign body
    • Traumatic optic neuropathy
    • Zygomatic arch fractures
    • Zygomaticomaxillary complex fracture
    • Zygomaticomaxillary complex fracture
    • Le Fort fracture classification
    • Le Fort fracture patterns
    • Le Fort I: the floating palate
    • Le Fort I fracture
    • Le Fort II: the pyramidal fracture
    • Le Fort III: craniofacial disjunction
    • Naso-orbitoethmoid complex fracture
    • Naso-orbitoethmoid complex fracture
    • Nasoethmoidal fracture complications
    • Mandibular fractures: basics
    • Mandibular fracture patterns
    • Mandibular condylar fracture
    • Subcondylar and other mandibular sites
    • Key takeaways: head injury
    • Key takeaways: facial injury
    • References
    • References
    • References
    • References
    • References
    • Brant and Helms' Fundamentals of Diagnostic Radiology

    42 slides