Topics in magnetic resonance imaging : TMRI
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Top Magn Reson Imaging · Jan 1993
ReviewNeuroradiologic evaluation of pediatric craniocerebral trauma.
Although cranial computed tomography (CT) remains the initial diagnostic test in the evaluation and triage of the pediatric head-injury patient, magnetic resonance imagining (MRI) has become the next step in the diagnostic evaluation of those with focal or diffuse neurologic deficits. MRI is better able to demonstrate the extent and location of both hemorrhagic and nonhemorrhagic injury, thereby providing prognostic information. In nonaccidental head injury, MRI has proved valuable in detecting subtle subacute contusions and even not so subtle chronic subdural hematomas that may be difficult to see on CT or that can mimic enlargement of the subarachnoid space on CT.
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This article discusses the neuroradiologic characteristics of central nervous system infections in children. These disorders are divided into two groups: those of congenital infections and those of infections in the infant and child. ⋯ The heterogeneous etiologies often can be suggested by the neuroradiologic findings, as demonstrated with computed tomography and magnetic resonance imaging. This article also addresses the sequelae of destructive brain injuries.