FEIJÃO COM ARROZ

No último número da Radiographics tem um artigo bem legal sobre imagem do pós-operatório do crânio. Quem trabalha em Hospital sabe que esse tipo de exame é rotina. O artigo descreve a anatomia normal, os principais tipos de cirurgia e o mais importante, o que devemos reportar.

Imaging of the Post-operative Cranium1

1. Audrey G. Sinclair, MBBCh, MRCP, FRCR and
2. Daniel J. Scoffings, MBBS, MRCP, FRCR

+ Author Affiliations

1. ¹From the Department of Radiology Addenbrooke’s Hospital, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB2 0QQ, England

1. Address correspondence to
   D.J.S. (e-mail: daniel.scoffings@addenbrookes.nhs.uk).

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Abstract

Imaging plays an essential role in the evaluation of patients after cranial surgery. It is important to be familiar with the normal anatomy of the cranium; the indications for different surgical techniques such as burr holes, craniotomy, craniectomy, and cranioplasty; their normal postoperative appearances; and complications such as tension pneumocephalus, infection, abscess, empyema, hemorrhage, hematoma, herniation, hygroma, and trephine syndrome. Postoperative infection and hemorrhage are common to all neurosurgical procedures, where-as other complications are peculiar to certain procedures (eg, drill “plunging” during burr hole creation and sinking skin flap after craniec-tomy). Recognizing life-threatening complications such as tension pneumocephalus and paradoxical herniation, which require urgent intervention, is important for a better clinical outcome. Computed tomography is fast, cost effective, and easily accessible for first-line imaging. Magnetic resonance imaging has higher sensitivity for detecting postoperative infection and ischemia, but diffusion-weighted imaging may be less reliable for detecting postoperative infections.

http://radiographics.rsna.org/content/30/2/461.full