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Inicio Radiología (English Edition) Nontraumatic head and neck injuries: A clinical approach. Part 2
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Vol. 59. Issue 3.
Pages 182-195 (May - June 2017)
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Vol. 59. Issue 3.
Pages 182-195 (May - June 2017)
Update in Radiology
DOI: 10.1016/j.rxeng.2017.05.001
Nontraumatic head and neck injuries: A clinical approach. Part 2
Urgencias no traumáticas de cabeza y cuello: aproximación desde la clínica. Parte 2
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B. Brea Álvarez
Corresponding author
beatrizbreaalvarez@yahoo.es

Corresponding author.
, L. Esteban García, M. Tuñón Gómez, Y. Cepeda Ibarra
Hospital Universitario Puerta de Hierro-Majadahonda, Majadahonda, Madrid, Spain
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Table 1. Differential diagnosis of the entities responsible for visual deficit.
Table 2. Clinical-radiological differential diagnosis of the most common orbital inflammatory entities.
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Abstract

Nontraumatic emergencies of the head and neck represent a challenge in the field of neuroradiology for two reasons. As explained in the first part of this update, these entities affect an area where the thorax joins the cranial cavity and can thus compromise both structures; second, they are uncommon, so they are not well known.

Maintaining the same approach as in the first part, focusing on the clinical presentations in the emergency department rather than on the anatomic regions affected, we will study the entities that present with two patterns: those that present with a combination of cervical numbness, dysphagia, and dyspnoea and those that present with acute sensory deficits. In the latter group, we will specifically focus on visual deficits, because this is the most common symptom that calls for urgent imaging studies.

Keywords:
Emergencies
Neck injuries
Orbital diseases
Diseases of the paranasal sinus
Sialadenitis
Cellulitis
Diagnostic imaging
Computed tomography
Magnetic resonance imaging
Resumen

Las urgencias no traumáticas de cabeza y cuello son un reto en el campo neurorradiológico por los motivos referidos en la primera parte: su área de afectación, en la encrucijada del tórax y la cavidad craneal, y su baja incidencia en la urgencia, lo que supone que sean poco conocidas.

Manteniendo el mismo enfoque que en la actualización previa, a partir de las formas clínicas de presentación en el ámbito de la urgencia, en lugar de la división por regiones anatómicas estudiaremos las entidades que se presentan con patrones que combinan tumefacción cervical, disfagia y disnea, y los déficits agudos de los sentidos. Dentro de este último grupo, el síntoma al que haremos referencia específica será el déficit visual, puesto que es el que de forma más frecuente requiere estudio radiológico urgente.

Palabras clave:
Urgencias
Lesiones del cuello
Enfermedades orbitarias
Enfermedades del seno paranasal
Sialadenitis
Cellulitis
Imagen diagnóstica
Tomografía computarizada
Resonancia Magnética

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