Here are some images of a polytrauma patient referred to us for a CT scan interpretation. One look at the images make you feel scared, just look at the way Ryles tube is coiling in the cranial cavity. probably he had a cribiform plate fracure through which the tube got accidentally pushed into the cranial cavity. We present the Scout film and CT sections. 35 cases of intracranial nasogastric tube insertion have been reported in the international literature. A complex craniofacial fracture is the most common predisposing factor.
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Case by Dr Sumer Sethi-MD, Dr Jaya Shanker,MD