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Abstract

CT of Brainstem Injury

Fong Y. Tsai, James S. Teal, Michael F. Quinn, Hideo H. Itabashi, James E. Huprich, Jamshid Ahmadi and Hervey D. Segall
American Journal of Neuroradiology January 1980, 1 (1) 23-29;
Fong Y. Tsai
1Department of Neuroradiology, Los Angeles County–University of Southern California Medical Center, Box 766, 1200 N. State St., Los Angeles, CA 90033. Address reprint requests to F. Y. Tsai
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James S. Teal
1Department of Neuroradiology, Los Angeles County–University of Southern California Medical Center, Box 766, 1200 N. State St., Los Angeles, CA 90033. Address reprint requests to F. Y. Tsai
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Michael F. Quinn
1Department of Neuroradiology, Los Angeles County–University of Southern California Medical Center, Box 766, 1200 N. State St., Los Angeles, CA 90033. Address reprint requests to F. Y. Tsai
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Hideo H. Itabashi
2Department of Chief Medical Examiner–Coroner, County of Los Angeles, Los Angeles, CA 90033
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James E. Huprich
1Department of Neuroradiology, Los Angeles County–University of Southern California Medical Center, Box 766, 1200 N. State St., Los Angeles, CA 90033. Address reprint requests to F. Y. Tsai
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Jamshid Ahmadi
1Department of Neuroradiology, Los Angeles County–University of Southern California Medical Center, Box 766, 1200 N. State St., Los Angeles, CA 90033. Address reprint requests to F. Y. Tsai
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Hervey D. Segall
1Department of Neuroradiology, Los Angeles County–University of Southern California Medical Center, Box 766, 1200 N. State St., Los Angeles, CA 90033. Address reprint requests to F. Y. Tsai
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Abstract

Cranial computed tomography (CT) scans of 1,600 head trauma patients, 67 of which demonstrated evidence of brainstem injury, were reviewed. CT diagnosis of brainstem injury was based on direct and indirect evidence. Direct signs, which include focal hemorrhage, significant intraparenchymal contrast enhancement, hemorrhagic contusion, and edema of the brainstem, appear as areas of high density, mixed density, and low density on the CT scan. Indirect signs are obliteration of the pontine, cerebellopontine angle, and perimesencephalic cisterns. Mortality and morbidity rates after brainstem injury are 2–3 times greater than for head trauma with descending transtentorial herniation, but without brainstem injury.

  • © American Roentgen Ray Society
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American Journal of Neuroradiology
Vol. 1, Issue 1
1 Jan 1980
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CT of Brainstem Injury
Fong Y. Tsai, James S. Teal, Michael F. Quinn, Hideo H. Itabashi, James E. Huprich, Jamshid Ahmadi, Hervey D. Segall
American Journal of Neuroradiology Jan 1980, 1 (1) 23-29;

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CT of Brainstem Injury
Fong Y. Tsai, James S. Teal, Michael F. Quinn, Hideo H. Itabashi, James E. Huprich, Jamshid Ahmadi, Hervey D. Segall
American Journal of Neuroradiology Jan 1980, 1 (1) 23-29;
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