{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T18:43:01Z","timestamp":1763059381120,"version":"3.45.0"},"reference-count":11,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Pract Neurol"],"accepted":{"date-parts":[[2025,4,22]]},"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>A 61-year-old man had epilepsy related to chronic alcoholism and occipito-temporal porencephaly. Over a span of 19 years, he had been admitted to our institution 227 times, undergoing 55 CT scans of the head and 11 CT scans of the cervical spine. His blood alcohol concentrations varied between 1.9\u2009g\/L and 5.1\u2009g\/L. We discuss the challenges of emergency management of patients with alcoholism and seizures and the overuse of radiological examinations.<\/jats:p>","DOI":"10.1136\/pn-2024-004447","type":"journal-article","created":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T07:15:23Z","timestamp":1750317323000},"page":"571-572","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["How many cranial CT scans does a man need?"],"prefix":"10.1136","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9605-8703","authenticated-orcid":false,"given":"Josef G","family":"Heckmann","sequence":"first","affiliation":[{"name":"Department of Neurology, Medical Campus Lower Bavaria, Hospital Landshut, Landshut, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Breckner","sequence":"additional","affiliation":[{"name":"Department of Radiology, Medical Campus Lower Bavaria, Hospital Landshut, Landshut, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Reng","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Medical Campus Lower Bavaria, Hospital Landshut, Landshut, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,6,19]]},"reference":[{"key":"2025111304551241000_25.6.571.1","doi-asserted-by":"crossref","first-page":"E1055","DOI":"10.1111\/j.1553-2712.2012.01437.x","article-title":"Utility of emergency cranial computed tomography in patients without trauma","volume":"19","author":"Narayanan","year":"2012","journal-title":"Acad Emerg Med"},{"key":"2025111304551241000_25.6.571.2","doi-asserted-by":"crossref","first-page":"514","DOI":"10.12968\/hmed.2010.71.9.78163","article-title":"Cranial computed tomography 2: use in clinical practice","volume":"71","author":"Thomas","year":"2010","journal-title":"Br J Hosp Med"},{"key":"2025111304551241000_25.6.571.3","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1997.86.3.0433"},{"key":"2025111304551241000_25.6.571.4","doi-asserted-by":"crossref","DOI":"10.3390\/brainsci14050473","article-title":"Seizure-Related Head Injuries: A Narrative Review","volume":"14","author":"Piwowarczyk","year":"2024","journal-title":"Brain Sci"},{"key":"2025111304551241000_25.6.571.5","first-page":"135","article-title":"Radiation Exposure in Computed Tomography","volume":"120","author":"Bos","year":"2023","journal-title":"Dtsch Arztebl Int"},{"key":"2025111304551241000_25.6.571.6","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.10100063"},{"key":"2025111304551241000_25.6.571.7","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1007\/s43678-022-00347-4","article-title":"Reducing overuse of CT imaging in pediatric trauma: a model example of the Model for Improvement","volume":"24","author":"Thull-Freedman","year":"2022","journal-title":"CJEM"},{"key":"2025111304551241000_25.6.571.8","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1055\/a-2093-4177","article-title":"Sustainability and Climate Protection in Radiology \u2013 An Overview","volume":"195","author":"Palm","year":"2023","journal-title":"Rofo"},{"key":"2025111304551241000_25.6.571.9","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-pharmtox-031323-115847"},{"key":"2025111304551241000_25.6.571.10","doi-asserted-by":"publisher","DOI":"10.3238\/arztebl.2016.0301"},{"key":"2025111304551241000_25.6.571.11","doi-asserted-by":"publisher","DOI":"10.7326\/M24-0842"}],"container-title":["Practical Neurology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/pn-2024-004447","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T12:55:38Z","timestamp":1763038538000},"score":1,"resource":{"primary":{"URL":"https:\/\/pn.bmj.com\/lookup\/doi\/10.1136\/pn-2024-004447"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,19]]},"references-count":11,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2025,11,13]]},"published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1136\/pn-2024-004447"],"URL":"https:\/\/doi.org\/10.1136\/pn-2024-004447","relation":{},"ISSN":["1474-7758","1474-7766"],"issn-type":[{"type":"print","value":"1474-7758"},{"type":"electronic","value":"1474-7766"}],"subject":[],"published":{"date-parts":[[2025,6,19]]}}}