Head Injury (cont.)
IN THIS ARTICLE
Head Injury Diagnosis
Patient Comments Read 12 Comments
The physical examination and the history of the exact details of the injury are the first steps in caring for a patient with head injury. The patient's past medical history and medication usage will also be important factors in deciding the next steps. Plain skull X-rays are rarely done for the evaluation of head injury. It is more important to assess brain function than to look at the bones that surround the brain. Plain X-ray films may be considered in infants to look for a fracture, depending upon the clinical situation.
Computerized tomography (CT) scan of the head allows the brain to be imaged and examined for bleeding and swelling in the brain. It can also evaluate bony injuries to the skull and look for bleeding in the sinuses of the face associated with basilar skull fractures. CT does not assess brain function, and patients suffering axonal shear injury may be comatose with a normal CT scan of the head.
Numerous guidelines exist to give direction as to when a CT should be completed in patients who present awake after sustaining a minor head injury.
The Ottawa CT head rules apply to patients age 2 to 65.
Medically Reviewed by a Doctor on 9/4/2015
YOU MAY ALSO LIKE
Must Read Articles Related to Head Injury
Patient Comments & Reviews
The eMedicineHealth doctors ask about Head Injury (Brain Injury):
Head Injury - Treatment
What treatment did you receive for your head injury?
Head Injury - Cause
Please describe the cause and outcome of your Head Injury.
Head Injury - Tests
What tests were performed for your head injury?
Head Injury (Brain Injury) - Symptoms
What is your experience with delayed symptoms of brain injury?