Towne view (skull AP axial view)

Case contributed by Matt A. Morgan
Diagnosis not applicable

Presentation

Shunt survey. Normocephalic patient.

Patient Data

Age: 17 years
Gender: Male
x-ray

Normal skull AP axial (Towne) view.

Right-sided ventricular shunt catheter.

Diagram

Diagram of the skull Towne view. Modified image from Gray's anatomy via Wikimedia Commons. The original image can be seen at (https://commons.wikimedia.org/wiki/File%3AGray188_no_text_bw.png)

Case Discussion

The Towne view allows better frontal evaluation of the posterior fossa region than a standard nonangled frontal skull view. The lambdoid suture is better evaluated than on nonangled views.

The addition of a Towne view to skull AP and lateral views has been thought to result in better sensitivity for detecting skull fractures than an AP and lateral view alone. 

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