CT Head
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CA0594-CT Head
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CA0594-CT Head
Case ReportHistory
Exam
Prior Study
Findings
CT Head
There is evidence of hyperacute (CT hyperdense) thrombus in the superior sagittal sinus (SSS), the straight sinus, the torcular herophile, the right transverse sinus and the initial segment of the left transverse sinus. The extent of the thrombus does appear to be more extensive likely representing progression of the dural sinus thrombosis. However, cerebral sulci and the ventricular size have returned to normal indicating improved venous egress with less brain swelling, less effects of the prior meningitis and no evidence of persistent raised ICP. It should be noted that there were no noncontrast CT imaging nor noncontrast T1-w MR with which to compare.
There is evidence of an intercurrent right mastoidectomy performed for aggressive otomastoiditis and epidural abscess.
The sulci are now visualized compared to the initial imaging and the ventricular size is within normal limits. There was an incidental small left vertex arachnoid cyst evident on the initial exam, which is unchanged.
There is no focal vasogenic edema related to the dural sinus thromboses.
Impression
2. The hydrocephalus seen on initial imaging has resolved and sulcal size has returned to normal. These would suggest that the additional thrombus is balanced by additional collateral venous egress.
