PENCITRAAN KEPALA

7/25/2019 PENCITRAAN KEPALA

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Pencitraan Kepala

dr. Chairil Amin Batubara

Departemen NeurologiFakultas Kedokteran

Universitas Sumatera Utara

RSUP. H. Adam Malik, Medan



Cranialvault

KORONAL

SAGITAL

AKSIAL



1. Ape ospetrosum

!. Allae os

!!

11

##

F&SSA P&S$'R(&R

F&SSA M'D(A

F&SSA AN$'R(&R

Cranialbase



Orientasi Aksial

Supratentorial

Infratentorial















Non%ontrast )$ revealing "emorr"agi%trans*ormation o* a rig"t middle %ere+ral

arter and anterior %ere+ral arter in*ar%tion.







&S$'MP&RA-(S

AR$'R( M'N(N'A M'D(A



AR$'R( M'N(N'A M'D(A



'pidural Hematome





/R(D(N 0'(N



Acute Subdural Hematoma

Hipodense foci active bleeding



Su+a%ute su+dural "ematomaAs the hemorrhage is reabsorbed, it

becomes isodense to the normal graymatter. A subacute SH should be

suspected !hen you identify shift of themidline structures !ithout an obvious



)"roni% su+dural "ematoma "hey are hypodense crescentic collections#hemoly$ed blood% & may be loculated.



A%ute on top o* %"roni% su+dural "ematoma'ebleeding may occur in chronic subdural hematomas

!ith accumulation of the layering of the chronichematoma anteriorly & the hyperdense fresh blood

posteriorly #(uid)(uid level%.





Subarachnoid hemorrhage

filling the basilar cisterns(“star sign”



Acute subarachnoid hemorrhage! A noncontrasted a"ial com#uted tomogra#h$ (%T scan sho&s the blood as

areas of increased densit$! A trans'erse 'ie& (A near the base of the brain sho&s blood in the “Te"aco star”

#attern formed b$ blood radiating from the su#rasellar cistern into the s$l'ian fissures and the anterior

interhemis#heric fissure! A higher cut () sho&s blood as an area of increased densit$ in the anterior and

#osterior interhemis#heric fissures as &ell as in the sulci on the right!



*IG! +! %T of an ,-.$ear.old female status #ost fall

sho&ing a large left subdural hematoma in addition to

substantial subarachnoid hemorrhage (arrows).



JARAK AB X ! X J"#$A% S$I& '

/ 0 +

1 2













)rain abscess! A"ial %T scan in a #atient &ho #resented

&ith a headache fe'er and a histor$ of a

recent #neumonia demonstrates a #oorl$ defined area

of #osterior #arietal brain edema (arro&s!

3arl$ cerebritis ma$ not outline a focal mass clearl$!

)rain abscess! A"ial %T scan &ith intra'enous (I4 contrast

enhancement in a #atient &ith fe'er headache and a recent

histor$ of #neumonia! An area of ringli5e enhancement

($ello& arro& is noted &ithin a much larger #attern of edema

(&hite arro&! The central core of the abscess (blac5 arro&

does not enhance &hich is consistent &ith central necrosis!



Abses serebri (%ead tanpa *ontras)



Abses serebri (%ead dengan *ontras)



iagnosis*anding

+A- PA/-S0'/-+-*1+1etastase

+-ranuloma+Resolvinghematoma+/nfark

+A- K2'A-S0'/- 3+ "hrombosed A41+Plak 1S

5A'A- 3+ "hrombosedaneurysm+imfoma+ekrosis 'adiasi

RING-ENHANCING

LESION



Gunshot &ound of the head! A noncontrasted com#uted

tomogra#h$ (%T scan sho&s bilateral soft tissue s&elling

and a hemorrhagic trac5 across the brain! )lood a##ears

&hite and it also is seen &ithin the lateral 'entricles!

Se'eral small air bubbles are seen in the lateral 'entricles

along the trac5 and along the anterior surface of the brain!



"erima Kasih

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