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2 - Neuroradiology

from SECTION I - NEUROLOGICAL EXAMINATION AND NEURODIAGNOSTIC TESTING

Published online by Cambridge University Press:  06 August 2009

By
Andrew L. Goldberg  and
Sid M. Shah
Edited by
Sid M. Shah  and
Kevin M. Kelly
Andrew L. Goldberg
Affiliation:
Director Westside imaging Center Brook Brook Park, Ohio
Sid M. Shah
Affiliation:
Assistant Clinical Professor Michigan State University; Faculty member of Sparrow/MSU Emergency Medicine Residency Program Lansing, Michigan
Sid M. Shah
Affiliation:
Michigan State University
Kevin M. Kelly
Affiliation:
Drexel University, Philadelphia
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Summary

Magnetic resonance imaging (MRI) with or without contrast is the study of choice when cerebellar, brainstem, or internal auditory meatus pathology is suspected. Similarly, the yield of computed tomography (CT) brain scans is minimal in patients with syncope or near syncope. Suspected spinal cord compression is best defined by MRI. Traumatic or atraumatic myelopathy should be investigated with emergent MRI. In case of nontraumatic myelopathy, the entire spine must be evaluated by MRI. Ready access to CT and its accurate interpretation is essential in evaluating the patient presenting with a new ischemic neurological deficit. Epidural hematomas are often associated with skull fractures, which should be evaluated with CT bone settings and the plain radiography. Most of epidural hematomas result from laceration of the meningeal arteries and/or dural venous sinuses. MRI is particularly sensitive in demonstrating subacute subdural hematomas because of its inherent soft tissue contrast characteristics and its multiplanar capability.

Keywords

brainCThematomasMRIplain radiographyneurological deficit
Type
Chapter
Information
Principles and Practice of Emergency Neurology
Handbook for Emergency Physicians
 , pp. 12 - 29
Publisher: Cambridge University Press
Print publication year: 2003

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References

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  • Neuroradiology
    • By Andrew L. Goldberg, Director Westside imaging Center Brook Brook Park, Ohio, Sid M. Shah, Assistant Clinical Professor Michigan State University; Faculty member of Sparrow/MSU Emergency Medicine Residency Program Lansing, Michigan
  • Edited by Sid M. Shah, Michigan State University, Kevin M. Kelly, Drexel University, Philadelphia
  • Book: Principles and Practice of Emergency Neurology
  • Online publication: 06 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511547256.003
Available formats
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  • Neuroradiology
    • By Andrew L. Goldberg, Director Westside imaging Center Brook Brook Park, Ohio, Sid M. Shah, Assistant Clinical Professor Michigan State University; Faculty member of Sparrow/MSU Emergency Medicine Residency Program Lansing, Michigan
  • Edited by Sid M. Shah, Michigan State University, Kevin M. Kelly, Drexel University, Philadelphia
  • Book: Principles and Practice of Emergency Neurology
  • Online publication: 06 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511547256.003
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Neuroradiology
    • By Andrew L. Goldberg, Director Westside imaging Center Brook Brook Park, Ohio, Sid M. Shah, Assistant Clinical Professor Michigan State University; Faculty member of Sparrow/MSU Emergency Medicine Residency Program Lansing, Michigan
  • Edited by Sid M. Shah, Michigan State University, Kevin M. Kelly, Drexel University, Philadelphia
  • Book: Principles and Practice of Emergency Neurology
  • Online publication: 06 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511547256.003
Available formats
×