AI Article Synopsis
- - Craniotomy and craniectomy are emergency neurosurgical procedures used to treat conditions like trauma and cancer, making it crucial for emergency radiologists to recognize normal and abnormal imaging findings in these patients.
- - Understanding postoperative CT and MRI appearances helps avoid misinterpretations and delays in treatment, as familiarity with common complications is essential.
- - Key complications to be aware of include hemorrhage, infections, and specific issues like extracranial herniation and trephine syndrome related to craniectomies.
Article Abstract
Craniotomy and craniectomy are widely performed emergent neurosurgical procedures and are the prescribed treatment for a variety of conditions from trauma to cancer. It is vital for the emergency radiologist to be aware of expected neuroimaging findings in post-craniotomy and craniectomy patients in order to avoid false positives. It is just as necessary to be familiar with postsurgical complications in these patients to avoid delay in lifesaving treatment. This article will review the commonly encountered normal and abnormal findings in post-craniotomy and craniectomy patients. The expected postoperative CT and MRI appearance of these procedures are discussed, followed by complications. These include hemorrhage, tension pneumocephalus, wound/soft tissue infection, bone flap infection and extradural abscesses. Complications specifically related to craniectomies include extracranial herniation, external brain tamponade, paradoxical herniation, and trephine syndrome.
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| http://dx.doi.org/10.1007/s10140-018-1647-2 | DOI Listing |
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