Non Accidental Trauma Neuro - CT
Non Accidental Trauma Neuro - CT
Search Pattern Assist ?History
Exam
Findings
Skull films, scout films, or CT bone windows
There is soft tissue swelling of the scalp. [Yes/No]
There is evidence of a fracture-linear/mixed, nondisplaced/displaced/depressed/complex calvarial fracture with or without diastasis. [Yes/No]
There is evidence of a fracture crossing any of the meningeal artery or major dural sinuses sites. [Yes/No]
There is evidence of a calvarial fracture extending into or from the intracranial surface of any of the paranasal sinuses, temporal bone /sigmoid plate/ lesser sphenoid wing or optic canal with or without intracranial gas. [Yes/No]
There is evidence of concurrent abnormalities not likely related to recent brain injury. [Yes/No]
Head CT or CTA
There is evidence of subperiosteal/subgaleal hemorrhage along either the inner or outer calvarial surface. [Yes/No]
There is evidence of epidural/subdural/intradural/ subarachnoid hemorrhage. [Yes/No]
There are mixed-age CNS injuries. [Yes/No]
There is evidence of intraaxial direct impact injuries: brain contusion or superficial gliding contusions /coup opposite side (counter coup event), / intraventricular hemorrhage. [Yes/No]
There is evidence of brain laceration from missile type penetrating injuries. [Yes/No]
There is evidence of intraaxial (non-direct impact acceleration/deceleration) brain shear injuries or diffuse axonal injuries (i.e. DAI) arterial microvascular shear effect causing microhemorrhages at the gray-white junction or along the major forceps of the corpus callosum. [Yes/No]
There is evidence of venous tether avulsion injuries, possibly with brain laceration (linear parenchymal hemorrhage). [Yes/No]
There is evidence of any brain herniation. [Yes/No]
There is evidence of regional brain swelling from dysautoregulation and expanded intravascular pool, but without apparent brain edema. [Yes/No]
There is evidence of intercurrent ICA/ACA/PCA or circummesencephalic artery stroke(s) from herniation or choking. [Yes/No]
There is evidence of global (diffuse) cytogenic edema likely related to concurrent apneic episode with cytotoxic brain edema. [Yes/No]
CTA
There is evidence of major arterial post traumatic dissection. [Yes/No]
There is evidence of pial or meningeal arterial entrapment in a fracture. [Yes/No]
There is evidence of major arterial post traumatic injury producing a pseudoaneurysm. [Yes/No]
There is evidence of major arterial post traumatic injury producing a high or low flow AV fistula. [Yes/No]
There is evidence of deformity (external compression) or thrombosis of a dural sinus. [Yes/No]
There is evidence of concurrent abnormalities not likely related to recent brain injury. [Yes/No]