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Central Nervous System
RTEC 91
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Hydrocephalus Fig A Hydrocephalus as seen on this transverse CT view of a 6-month-old girl with only mild dilatation of the left ventricle. Streaking artifacts originate from the shunt being checked for placement.
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Hydrocephalus
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VJ shunt placement
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TRAUMA
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Blow-out FX Tripod FX Orbital Floor Maxilla Zygoma Lacrimal
“Free Floating Zygomatic Arch” Usually 3 fx points (2-3) Maxilla Frontal Zygoma
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Blow-out FX
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Blow-out FX
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subdural hematoma
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bilateral subdural hematoma
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epidural hematoma
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linear skull fracture of the parietal bone
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depressed fracture of the occipital bone
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Berry Aneurysm
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subarachnoid hemorrhage
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hemorrhagic contusions of the brain
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Infarction
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Infarction
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MS plaques – white matter
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Typical MRI demonstrating MS “plaques” or lesions.
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Infarct - MRI
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Mass effect due to large tumor and edema
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Edema shift of the right lateral and third ventricles to the left.
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Spine Pathology
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Degenerative joint disease
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Degenerative joint disease
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Fig A normal neural arch in comparison to congenital defects: A, Normal. B, Spina bifida occulta. The median segment of the vertebral arch is missing and covered by skin. C, Meningocele. The arch is mostly absent with a bulging dura; however, the spinal cord remains in the vertebral canal. D, Myelomeningocele with a deformed spinal cord within the protruding dural sac. E, Myelocele: the area is totally exposed.
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meningomyelocele
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T 12 Compression FX
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L1 through L4 fusion with stable hardware in place.
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hangman’s fracture spinous process displaced
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Jefferson’s Fracture
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Jefferson’s Fracture Burst fracture of the ring of C1
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C2 fracture
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L 1 Body Fx
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