CT of the head

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Author: Mikael Häggström [notes 1]

Planning

Indications for contrast

Most CTs of the head are made without IV contrast, as there is limited advantage of contrast for initial investigations for stroke, intracranial bleeding or skeletal trauma. In the acute setting, it is also acceptable to have a CT head without contrast if a tumor is part of a list of differential diagnoses but not the most likely cause. It is then generally possible to to a complementary MRI of the head if a suspicion of a tumor remains. However, if a tumor is strongly suspected in an initial acute setting, it is usually appropriate to do a CT with and without IV contrast.

CT angiography of the head

This is indicated in identification and characterization of aneurysms, stenosis or other occlusive diseases, arteriovenous malformations, vessel dissections, sinus thrombosis, idiopathic hemorrhage, and other vascular pathologies.[1]

Normal anatomy

Associated diseases and conditions

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Diseases associated with both CT and MRI of the head

Notes

  1. For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Radlines:Authorship for details.

References

  1. Lian, K.; Bharatha, A.; Aviv, R.I.; Symons, S.P. (2011). "Interpretation Errors in CT Angiography of the Head and Neck and the Benefit of Double Reading ". American Journal of Neuroradiology 32 (11): 2132–2135. doi:10.3174/ajnr.A2678. ISSN 0195-6108.