Neuroimaging clinics of North America
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Neuroimaging Clin. N. Am. · Aug 2018
ReviewCurrent Challenges in the Use of Computed Tomography and MR Imaging in Suspected Cervical Spine Trauma.
There is controversy regarding the optimal imaging strategy in adult blunt trauma patients for suspected cervical spine trauma. Some investigators recommend negative computed tomography (CT) alone to clear the cervical spine in adult blunt trauma patients, while others insist that MR imaging is necessary, especially among obtunded adult blunt trauma patients. CT is an excellent imaging modality for bony cervical spine injury; however, there is a nonzero rate of clinically significant cervical spine injuries missed on CT. MR imaging has high sensitivity for soft tissue cervical spine injuries, but low specificity for the rare isolated unstable ligamentous cervical spine injury.
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Neuroimaging Clin. N. Am. · Aug 2018
ReviewNeurologic Emergencies in Pediatric Patients Including Accidental and Nonaccidental Trauma.
This article summarizes common neurologic emergencies presenting in pediatric patients. Imaging techniques and appearances of specific conditions are detailed, including pearls and pitfalls for each presentation. Specific attention is given to differential diagnoses that can serve as mimickers of pediatric neurologic emergencies.
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Neuroimaging Clin. N. Am. · Aug 2018
ReviewHead and Neck Injuries: Special Considerations in the Elderly Patient.
Traumatic injuries to the head and neck are common in the elderly, which is a rapidly growing sector of the American population. Most injuries result from low-energy falls and therefore might be at risk for delayed presentation and undertriage. Imaging, particularly with computed tomography, plays a vital role in the evaluation of traumatic head and neck injuries in geriatric patients. A thorough understanding of the differing patterns of trauma in the elderly patient and the factors that are associated with poorer outcomes is essential.