Adult skull

Published on 01/04/2015 by admin

Filed under Radiology

Last modified 01/04/2015

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Adult skull

Following a head injury the imaging examination of choice is CT19.

Plain film skull radiography (SXR) has in the main been abandoned6 or its use radically reduced as a first line imaging test both in children and in adults14.

A SXR is now limited to:

If a SXR is obtained there are just three abnormal features to look for: linear fractures, depressed fractures, and a fluid level in the sphenoid sinus.


CT, computed tomography; PA, posterior-anterior view; SXR, skull X-ray.

Following an apparently mild head injury requests for skull radiography (SXR) will occur very infrequently19. Compelling evidence that CT should be the examination of choice was initially based on a meta-analysis of 20 head injury surveys7. SXR series may still be requested, perhaps in remote locations where imaging facilities are limited.


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