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Skull x-ray

Contents of this page:

Illustrations

X-ray
X-ray
Skull of an adult
Skull of an adult

Alternative Names    Return to top

X-ray - head; X-ray - skull; Skull radiography; Head x-ray

Definition    Return to top

A skull x-ray is a picture of the bones surrounding the brain, including the facial bones, the nose, and the sinuses.

See also: Sinus x-ray

How the Test is Performed    Return to top

The test is performed in a hospital radiology department or in the health care provider’s office by an x-ray technician. You will be asked to lie on the x-ray table or sit in a chair. Your head may be placed in a number of positions.

How to Prepare for the Test    Return to top

Inform the health care provider if you are pregnant. Remove all jewelry.

How the Test Will Feel    Return to top

Generally, there is little or no discomfort during an x-ray. If there is a head injury, positioning the head may be uncomfortable.

Why the Test is Performed    Return to top

Your doctor may order this test if you you have injured your skull or you have symptoms or signs of a structural problem inside the skull (such as a tumor or bleeding).

A skull x-ray is also used to evaluate an unusually shaped child's head.

Additional conditions under which the test may be performed include the following:

What Abnormal Results Mean    Return to top

Abnormal results may be due to:

A skull x-ray may detect increased intracranial pressure and unusual skull structures that are present at birth (congenital).

Risks    Return to top

There is low radiation exposure. X-rays are monitored and regulated to provide the minimum amount of radiation exposure needed to produce the image. Most experts feel that the risk is low compared with the benefits. Pregnant women and children are more sensitive to the risks associated with x-rays.

Considerations    Return to top

A CT scan of the head is usually preferred to a skull x-ray to evaluate most head injuries or brain disorders. Skull x-rays are rarely used as the main test to diagnose such conditions.

References    Return to top

Stevens JM. Cranial and intracranial disease: trauma, cerebrospinal fluid disturbances, degenerative disorders and epilepsy. In: Grainger RC, Allison D, Adam, Dixon AK, eds. Diagnostic Radiology: A Textbook of Medical Imaging. 5th ed. New York, NY: Churchill Livingstone; 2008:chap 5.

Update Date: 12/22/2008

Updated by: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and Daniel B. Hoch, PhD, MD, Assistant Professor of Neurology, Harvard Medical School, Department of Neurology, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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