Výpočetní tomografie (CT) mozku představuje nejrozšířenější a nejvíce využívanou zobrazovací metodu v rámci akutní (cévní) neurologie. Nativní CT mozku, CT angiografie mozkových tepen od oblouku aorty a CT perfuzní vyšetření plní v rámci diagnostiky a terapie akutního mozkového infarktu důležitou úlohu komplementární ke klinickému vyšetření a anamnestickým údajům. Cílem tohoto článku je podat souhrnný a stručný přehled o jednotlivých CT zobrazovacích modalitách nezbytných pro běžnou klinickou praxi u pacientů s podezřením na cévní mozkovou příhodu.
Brain computed tomography (CT) is the most widely used and widespread imaging method in acute (vascular) neurology. Non-contrastbrain CT, CT angiography, and CT perfusion represent important imaging tools, complementary to clinical examination andpatients history, helping in diagnosis and decision-making on subsequent therapy. The main aim of this article is to summarizeCT imaging modalities, which are used in routine clinical practise.
- Keywords
- ASPECT skóre,
- MeSH
- Time Factors MeSH
- Stroke * diagnostic imaging diagnosis surgery MeSH
- Computed Tomography Angiography utilization MeSH
- Humans MeSH
- Magnetic Resonance Imaging MeSH
- Perfusion Imaging methods utilization MeSH
- Tomography, X-Ray Computed * classification utilization MeSH
- Thrombectomy MeSH
- Thrombolytic Therapy MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
Plicní embolie je poměrně časté onemocnění. V kazuistice u pacientky z naší kliniky prezentujeme zajímavý případ současného výskytu plicní embolie a aortální disekce. V případě plicní embolie, kterou se většinou snažíme léčit neinvazivně (antikoagulační léčbou nebo trombolýzou), byla u pacientky zvolena chirurgická embolektomie pro rozsah embolie. Ta byla popsaná angiograficky jako rozsáhlá embolie do obou větví plicnice. V případě disekce typu B, která se často spojuje s endovaskulárním řešením, se u pacientky zvolil konzervativní postup pro vysokou pravděpodobnost, že se jednalo o disekci staršího data. Tato se diagnostikovala až jako vedlejší nález pro minimálně vyjádřené příznaky.
Pulmonary embolism is a relatively common disease. The case report of simultaneous pulmonary embolism and aortic dissectionis presented. Although the pulmonary embolism is more frequently treated non-invasively (anticoagulants or thrombolysis), inour patient a surgical treatment was chosen because of the extent of the emboli. A massive pulmonary embolism that occludedthe pulmonary artery bilaterally was described on pulmonary angiography. The aortic dissection type B is often managed withusing endovascular treatment, but in this case a conservative approach was chosen because the dissection very probably wasn´ta new condition. The dissection was diagnosed as coincidental with minimal manifestation.
- MeSH
- Pulmonary Artery diagnostic imaging MeSH
- Abdominal Pain etiology MeSH
- Computed Tomography Angiography methods utilization MeSH
- Diagnostic Techniques, Cardiovascular utilization MeSH
- Dyspnea etiology MeSH
- Embolectomy methods utilization MeSH
- Humans MeSH
- Pulmonary Embolism * diagnostic imaging diagnosis surgery MeSH
- Aged MeSH
- Treatment Outcome MeSH
- Check Tag
- Humans MeSH
- Aged MeSH
- Publication type
- Case Reports MeSH
- MeSH
- Vascular Headaches diagnosis etiology physiopathology MeSH
- Computed Tomography Angiography methods utilization MeSH
- Diagnostic Techniques and Procedures MeSH
- Diagnosis, Differential MeSH
- Adult MeSH
- Disease Attributes MeSH
- Cervical Vertebrae * anatomy & histology physiopathology injuries MeSH
- Humans MeSH
- Migraine Disorders diagnosis etiology complications MeSH
- Tomography, X-Ray Computed methods utilization MeSH
- Subarachnoid Hemorrhage diagnosis physiopathology MeSH
- Vertebrobasilar Insufficiency diagnosis etiology complications MeSH
- Vertigo * diagnosis etiology physiopathology MeSH
- Vestibule, Labyrinth * anatomy & histology physiopathology MeSH
- Dizziness diagnosis etiology physiopathology MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
- Keywords
- idarucizumab,
- MeSH
- Antidotes * pharmacology therapeutic use MeSH
- Stroke * diagnosis drug therapy therapy MeSH
- Computed Tomography Angiography utilization MeSH
- Dabigatran * pharmacology therapeutic use MeSH
- Heparin, Low-Molecular-Weight pharmacology therapeutic use MeSH
- Antibodies, Monoclonal, Humanized pharmacology therapeutic use MeSH
- Hypesthesia MeSH
- Humans MeSH
- Paresis MeSH
- Tomography, X-Ray Computed utilization MeSH
- Aged MeSH
- Tissue Plasminogen Activator pharmacology therapeutic use MeSH
- Blood Coagulation Tests utilization MeSH
- Treatment Outcome MeSH
- Check Tag
- Humans MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
- Keywords
- idarucizumab,
- MeSH
- Antidotes * pharmacology therapeutic use MeSH
- Stroke * diagnosis drug therapy therapy MeSH
- Computed Tomography Angiography utilization MeSH
- Dabigatran * pharmacology therapeutic use MeSH
- Heparin, Low-Molecular-Weight pharmacology therapeutic use MeSH
- Antibodies, Monoclonal, Humanized pharmacology therapeutic use MeSH
- Hypesthesia MeSH
- Humans MeSH
- Paresis MeSH
- Tomography, X-Ray Computed utilization MeSH
- Aged MeSH
- Tissue Plasminogen Activator pharmacology therapeutic use MeSH
- Blood Coagulation Tests utilization MeSH
- Treatment Outcome MeSH
- Check Tag
- Humans MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Case Reports MeSH
Popisujeme případ 6Oletého kuřáka, který byl vyšetřen na urologické příjmové ambulanci pro náhle vzniklé kolikovité bolesti v bedrech s podezřením na renální koliku. Ultrazvukem a následně CT angiografií u něj byla diagnostikována a peroperačně potvrzena ruptura aneurysmatu společné ilické tepny vpravo. Pacient byl indikován k urgentnímu chirurgickému řešení výdutě.
A case report of an 60-years old man, a smoker with a diagnosis of ruptured isolated common iliac aneurysm is presented. A patient had been examinated in an emergency ambulance for a sudden colic pain in a hipster area with a clinical suspicion of renal colic. Diagnosis of ruptured common iliac artery aneurysm was made by ultrasonography and subsequently by computer tomography. Urgent surgical operation had been performed and confirmed a diagnosis of ruptured common iliac artery aneurysm.
- MeSH
- Iliac Aneurysm * diagnostic imaging diagnosis surgery MeSH
- Abdominal Pain MeSH
- Back Pain MeSH
- Computed Tomography Angiography methods utilization MeSH
- Diagnostic Imaging methods utilization MeSH
- Middle Aged MeSH
- Humans MeSH
- Urination Disorders MeSH
- Rupture diagnostic imaging diagnosis surgery MeSH
- Vascular Surgical Procedures methods MeSH
- Treatment Outcome MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Publication type
- Case Reports MeSH
- Keywords
- Fontanovská cirkulace, Reziduální nálezy u dospělých po korekci vrozené srdeční vady v dětsvtví,
- MeSH
- Computed Tomography Angiography methods utilization MeSH
- Cyanosis diagnosis etiology physiopathology MeSH
- Heart Septal Defects, Atrial diagnosis etiology classification MeSH
- Diagnostic Techniques, Cardiovascular * trends utilization MeSH
- Adult MeSH
- Echocardiography, Transesophageal methods utilization MeSH
- Echocardiography, Three-Dimensional methods utilization MeSH
- Cardiac Care Facilities * trends utilization MeSH
- Humans MeSH
- Magnetic Resonance Imaging methods utilization MeSH
- Ventricular Septum physiopathology pathology MeSH
- Natriuretic Peptides isolation & purification MeSH
- Ductus Arteriosus, Patent diagnosis etiology physiopathology MeSH
- Respiratory Function Tests MeSH
- Statistics as Topic MeSH
- Pulmonary Valve Stenosis diagnosis etiology classification MeSH
- Heart Defects, Congenital * diagnosis etiology prevention & control MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Publication type
- Research Support, Non-U.S. Gov't MeSH
