Neuroimagen in Severe Craneal Trauma

Abstract

Patients with severe craneal trauma requiere multifactorial attention,starting with the emergencist who is supposed to be the finst to assist the patient,the Radiologist with the computarized axial tomography(CAT) as a diagnostic choice method since 1970 ot the Doppler transcraneal echography which began suring the eighties,until the indispensable assessment of the neurosurgeon and neurointensivist.From the diagnostic point of view,the crebeal ACT is the most important radiologic scanming in patients with severe craneoencephalic trauma.It allows the classification of lesions and therefore it helps on the whast decisions may specific,facilitates the sequetial follow up of the initial encephalic lesion and contributes to dissent frial alterations from widespread lesions its absenst in our province,has been really definite on the high morbimortality rate in the management of politraumatized patients,which commit ourselves in our daily struggle against death.
The simple ray fim and brain angiography with more than 70 years of created ,are still being our only rearest diagnostic means in spite of being worldaly disscontinued in the diagnostic approaach in neurotraumatic patients.
The presence of new neuroimage methods like the transcraneal dopller echography,the CAT with xenon the measure the brain blood flow,the tomography with position emissions(TPE), among others catch the attention of those who study the theme as better ways to know the metbolism and hemodynamics of the injured brain.In our present work we pretend to point out some clinical and image elements specifically from the CAT which,in the future will contribute to offer in our province( Matanzas) a better attention to those patients with severe craneal trauma.