Pictorial review of the post-operative cranium

SA J Radiol. 2023 Jul 21;27(1):2684. doi: 10.4102/sajr.v27i1.2684. eCollection 2023.

Abstract

Imaging evaluation of the brain and cranium after cranial surgery is a routine and significant part of the workflow of a radiology department. Various normal expected findings and early and late complications are associated with the post-operative cranium. In this pictorial review, the authors describe the typical imaging features of the spectrum of various conditions associated with cranial surgery with illustrative cases.

Contribution: A good knowledge and understanding of the spectrum of imaging appearances in the post-operative cranium is vital for the radiologist to accurately diagnose potential complications and distinguish them from normal post-operative findings, improving patient outcomes and guiding further treatment.

Keywords: Trephine syndrome; complications; craniectomy; craniotomy; cranium; paradoxical herniation; post-operative; tension pneumocephalus.

Publication types

  • Review