Neuro Imaging
Summary
When dealing with neurological disorders, clinical examination is still paramount but many critical care patients will be sedated and/or paralyzed, rendering clinical assessment impossible. To help assessing sedated neuro critical care patients, neuro-imaging is crucial, as they are both diagnostic and prognostic tools.
The Most common neuro-imaging techniques are computed tomography, magnetic resonance imaging and optic nerve sheath measurement. Computed tomography (CT) is used in acute settings to detect intracranial bleeding, hydrocephalus or cerebral oedema. Magnetic resonance imaging (MRI) has increased anatomical resolution that could help clinicians detecting small zones of infarction or haemorrhage and evaluating the integrity of white matter. Optic nerve sheath measurement has been used as a non-invasive marker of increased intracranial pressure, which can be measured on CT, MRI or by ultrasound.
General Information
Enrolled trainees 1740
Open 19.02.2020
Available for ESICM members
Student effort 2
Last Updated February 22, 2022
Intended Learning Outcomes
After studying this chapter, you should be able to:
- Understand how the different imaging modalities work.
- Identify the main indications for each diagnostic test.
- Choose the best diagnostic test for a given pathology.
Relevant competencies in CoBaTrICE
- 2.2 Undertakes timely and appropriate investigations
- 2.8 Liaises with radiologists to organise and interpret clinical imaging
- 3.8 Recognises and manages the patient with neurological impairment
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