Pencitraan Kepala

dr. Chairil Amin Batubara

Departemen Neurologi
Fakultas Kedokteran
Universitas Sumatera Utara
RSUP. H. Adam Malik, Medan

Cranial
vault

AKSIAL

SAGITAL

KORONAL

Cranial
base
FOSSA ANTERIOR

FOSSA MEDIA

2
1

FOSSA POSTERIOR

1. Apex os
petrosum
2. Allae os

Orientasi Aksial

Supratentorial

Infratentorial

Noncontrast CT revealing hemorrhagic

transformation of a right middle cerebral
artery and anterior cerebral artery infarction.

OS
TEMPORALIS

ARTERI MENINGEA MEDIA

ARTERI MENINGEA MEDIA

Epidural Hematome

BRIDGING VEIN

Hipodense foci active bleeding

Acute Subdural Hematoma

Subacute subdural hematoma

As the hemorrhage is reabsorbed, it
becomes isodense to the normal gray
matter. A subacute SDH should be
suspected when you identify shift of the
midline structures without an obvious

Chronic subdural hematoma

They are hypodense crescentic collections
(hemolyzed blood) & may be loculated.

Acute on top of chronic subdural hematoma

Rebleeding may occur in chronic subdural hematomas
with accumulation of the layering of the chronic
hematoma anteriorly & the hyperdense fresh blood
posteriorly (fluid-fluid level).

Subarachnoid hemorrhage
filling the basilar cisterns
(star sign)

Acute subarachnoid hemorrhage. A noncontrasted axial computed tomography (CT) scan shows the blood as
areas of increased density. A transverse view (A) near the base of the brain shows blood in the Texaco star
pattern, formed by blood radiating from the suprasellar cistern into the sylvian fissures and the anterior
interhemispheric fissure. A higher cut (B) shows blood as an area of increased density in the anterior and
posterior interhemispheric fissures, as well as in the sulci on the right.

FIG. 3. CT of an 80-year-old female status post fall

showing a large left subdural hematoma in addition to
substantial subarachnoid hemorrhage (arrows).

JARAK AB X CD X JUMLAH SLICE / 2

Brain abscess. Axial CT scan in a patient who presented

with a headache, fever, and a history of a
recent pneumonia demonstrates a poorly defined area
of posterior parietal brain edema (arrows).
Early cerebritis may not outline a focal mass clearly.

Brain abscess. Axial CT scan with intravenous (IV) contrast

enhancement in a patient with fever, headache, and a recent
history of pneumonia. An area of ringlike enhancement
(yellow arrow) is noted within a much larger pattern of edema
(white arrow). The central core of the abscess (black arrow)
does not enhance, which is consistent with central necrosis.

Abses serebri (Head CT tanpa kontras)

Abses serebri (Head CT dengan kontras)

YANG PALING
SERING
GBM
Metastase
Granuloma
Resolving
hematoma
Infark
YANG KURANG
SERING :
Thrombosed AVM
Plak MS
JARANG :
Thrombosed
aneurysm
Limfoma
Nekrosis Radiasi

Diagnosis
Banding
RING-ENHANCING
LESION

Gunshot wound of the head. A noncontrasted computed

tomography (CT) scan shows bilateral soft tissue swelling
and a hemorrhagic track across the brain. Blood appears
white, and it also is seen within the lateral ventricles.
Several small air bubbles are seen in the lateral ventricles
along the track and along the anterior surface of the brain.

Terima Kasih