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Tiga Kemungkinan Hasil

• ! "esi stroke non iskemik

•   #! Hemoragik•  SDH

•  $DH

•  S#H

• %ntracerebral

&! Non Hemoragik  Tumor' #bses

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• (! Stroke iskemik

 ) H*perdense arter* sign

 ) "oss o+ insular ribbon

 ) "oss o+ cortica-gra*-,hite matter

di++erentiation

 ) ass $++ect

.! Normal CT

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Time course o+ stroke

• Hiperakut /0 1 2am3

•  #kut /1-(4 2am3

•  #kut lan2ut /-. hari3• Subakut a,al /4-5 hari3

• Subakut lan2ut /-6 minggu3

• Kronik /7 ( bulan3

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Trombolisis

• Han*a untuk hiperakut

• K% pada perdarahan

• %skemik 7 8. C# distribusi' potensialperdarahan setelah trombolitik

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$+ek massa pada stroke

• ulai timbul setelah hari

• Tidak tampak lagi setelah 4 minggu

• Pendesakan ?

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Trans+ormasi hemoragik

• ulai -. hari

• Puncakn*a -( minggu

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$nhancement

• Parenkimal

mulai . hari

Puncak . mingguHilang . bulan

 

"eptomeningeal 9-9 hari

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D:-%

• Pada stroke hiperintens

• ulai mendeteksi stroke setelah .9 menit

•eningkat terus dalam beberapa hari• enghilang setelah -4 minggu /rata-rata5-9 hari3

• Kurang sensiti+ untuk perdarahan

• embedakan lesi lakunar ;s in+ark akut

• T%# han*a <9 = *ang positi+ 

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Per+usion-:%

• enentukan penumbra

• Seleksi trombolitik terapi

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Sistimatika membaca CT

• ! Parenkim

 ) Simetris ?

 ) idline ?

 ) Di+erensiasi gra*-,hite matter 

 ) "esi h*perdens

 ) &a*i ? >sia lan2ut ?

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• (! entrikel dan sisterna ) &asal sisterna

 ) #simetris sulci in+ark

 ) Perdarahan pada sulci - S#H

.! Dura dan subdural space

4! TulangFraktur 

Sinus paranasal' mastoid' telinga tengah

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• <! Kutis dan subkutis

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Trauma

• Cek dari tengah ke arah luar 

• &agaimana

 )Corte@ dan subcotical

 ) Sulci dan sisterna

 ) Subdural

 ) Fraktur 

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Sakit Kepala

• Cari adan*a

 ) S#H

 ) assa

 ) Sinusitis

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Perubahan mental

• Cari

 ) SDH

 ) %n+ark

 ) assa

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Ke2ang

• Cari

 ) $+ek massa

 ) %n+ark

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T$STAAA

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C#S$

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CASE 2

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