Cerebral Sy c
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PROTOCOLOS
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TAC CEREBRAL
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CEREBRAL SIMPLE
CEREBRAL CON CONTRASTE
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CEREBRAL SIMPLECEREBRAL CON CONTRASTE
INDICACIONES
TCE
ACV
CEFALEAS
CONVULSIONES
HIDROCEFALIA
CONTROLES POP
HEMORRÁGICOISQUEMICO
SOSPECHA DE TUMORES
ANEURISMAS
METÁSTASIS
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FLEJADO EXTENDIDO
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PASOS
1- ESCANOGRAMA ( TOPOGRAMA ) SCOUT VIEW LATERAL
2-CORTES FINOS EN BASE DE CRÁNEO 5/5 mm
3-CORTES GRUESOS EN CEREBRO 10/10 mm
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CORTES PARALELOS A LA LINEA ORBITOMEATAL
BASE DE CRANEO: PRIMER CORTE SOBRE EL DIPLOE (EN MEDIO DE LAS TABLAS OSEAS DEL OCCIPITAL). ULTIMO CORTE A NIVEL DE LAS APOFISIS CLINOIDES
CEREBRO: PRIMER CORTE 1CM POR ENCIMA DE LAS APOFISIS CLINOIDES. ULTIMO CORTE 1 CM POR DEBAJO DE LA TABLA OSEA MAS SUPERIOR ( HUESO PARIETAL )
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Globo ocular
Conducto auditivo externo
Agujero occipital
Hueso esfenoidal
M. semiespinoso Hueso occipital
Celdillas mastoideas
Cerebelo
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Seno frontal
Lóbulo temporal
M. Esplenio de la cabezapiel
Pabellon auricular
Cerebelo
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Seno frontal
Lóbulo frontal
Seno esfenoidal
Hueso temporal
Cuarto ventriculo
Protuberancia, bulboraquideo
Lóbulo temporal
Piso de la orbita del hueso frontal
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Cisura interhemisférica
Lóbulo frontal
Lóbulo temporal
Silla turca
Protuberancia
Cuarto ventriculo
Vermis cerebeloso
Hemisferio cerebeloso
Cisterna supraquasmática
Tallo hipofisiario
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Lóbulo frontal
Arteria cerebral media
Asta inferior o temporal del ventrículo lateral
Bulbo
Circunvolución del hipocampo
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Ventrículo lateral
Tercer ventrículo
Cisterna ambientCisura lateral de silvio
Putamen
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Septo pelúcidoVentrículo lateral
Ínsula
Asta del ventrículo lateral
Tálamo
Vermis del cerebeloVentrículo lateral
Putamen
Glándula pineal
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Plexos coroideos
Ventrícula lateral
Hoz del cerebro
Tálamo
Núcleo caudado
Ventrículo lateral
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Hoz del cerebro
Ventrículo lateral
Lóbulo occipital
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CREATININA
AYUNO DE 4 A 5 HORAS
1 cm3 POR KILOGRAMO DE PESO DE MEDIO DE CONTRASTE. PERO EN LOS ESTUDIOS DE CRÁNEO O CARA ES SUFICIENTE CON 1 FRASCO ( 50CM3 )
SE REALIZA UN PROTOCOLO IGUAL AL CEREBRAL SIMPLE Y SE COLOCA UN DELAY O DEMORA EN EL INICIO DE CORTES INYECCIÓN DE 18 SEG.
CEREBRAL CON CONTRASTE
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Tallo hipofisiario
Arterias cerebrales anteriores
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Arteria cerebral media
Arteria cerebral posterior
Tienda o tentorio del cerebelo Seno longitudinal
Arteria pericallosa
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Arteria pericallosa
Seno longitudinal
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Arterias pericallosas
Vena cerebral de galeno
Glandula pinealHoz del cerebro
Plexos coroideos
Liquido cefaloraquideo
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FOTOS
CORTES FINOS EN BASE DE CRANEO
W- 120
L - 40
CORTES GRUESOS EN CEREBRO
W- 80 – 85
L – 35 -45
EL FORMATO PROMEDIO ES DE 16 CUADROS
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SE TOMA FOTOS DE TEJIDO OSEO CUANDO ES POR TRAUMA
W- 2500 – 3000
L – 350 - 450
EN LA MAYORIA DE INSTITUCIONES SE TOMAN LAS DOS VENTANAS SEA CUAQUIERA LA PATOLOGIA