Neck
Author:
Mikael Häggström [notes 1]
Modalities
- Ct-workstation-neck.jpg
- X-ray of the cervical spine of an 18 year old male - anteroposterior.jpg
Presentations
Trauma
- Choice of investigation
In trauma, a normal clinical evaluation may clear the neck without diagnostic imaging, but when indicated, recommendations differ somewhat between children and adults:
- In children, CT of the neck is indicated in more severe cases such as neurologic deficits, whereas X-ray of the cervical spine is preferable in milder cases, by both US[1] and UK[2] guidelines. Swedish guidelines, recommend CT rather than X-ray in all children over the age of 5.[3]
- In adults, UK guidelines as largely similar.[2] US guidelines, on the other hand, recommend CT of the neck in all cases where medical imaging is indicated, and that X-ray of the cervical spine is only acceptable where CT is not readily available.[4]
Diseases
References
- ↑ Julie C Leonard (2018-02-12). Evaluation and acute management of cervical spine injuries in children and adolescents. UpToDate.
- ↑ 2.0 2.1 . Head injury: assessment and early management. National Institute for Health and Care Excellence (NICE) (2014). Updated in June 2017
- ↑ . Traumamanual. Region Skåne. Last updated: 2018-03-29}}
- ↑ Amy Kaji, Robert S Hockberger (2018-05-24). Evaluation and acute management of cervical spinal column injuries in adults.
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