Neuroradiological diagnosis of craniocerebral trauma: Current concepts

Paul M. Parizel, C. Douglas Phillips

Research output: Chapter in Book/Conference paperConference paperpeer-review


When computed tomography (CT) scanning is available, plain skull films contribute little or no additional information in the clinical management of the acute trauma patient. Traditionally, X-ray films of the skull have been used to detect skull fractures, intracranial mass effect (“pineal shift”), air-fluid levels, foreign objects (metal, glass, projectile fragments, etc.). However, the diagnostic yield of plain X-ray films is low because there is poor correlation between skull fractures and intracranial injury. The old saying has never been truer: “it doesn’t matter if the shell is cracked, only if the egg is scrambled”.
Original languageEnglish
Title of host publicationDISEASES OF THE BRAIN, HEAD & NECK, SPINE
EditorsJ Hodler, GK VonSchulthess, CL Zollikofer
PublisherSpringer-Verlag London Ltd.
Number of pages9
ISBN (Electronic)978-88-470-0840-3
ISBN (Print)978-88-470-0839-7
Publication statusPublished - 2008
Externally publishedYes
Event40th International Diagnostic Course in Davos (IDKD) - Davos, Switzerland
Duration: 30 Mar 20084 Apr 2008


Conference40th International Diagnostic Course in Davos (IDKD)


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