RESUMO
The paper analyzes neurosonographic studies of 66 patients with severe brain injury, which were carried out through the diagnostic cutting opening in 19 patients, intraoperatively in 26 and postoperatively in 21. They provided evidence for tomographic characteristics of various types of brain injuries and their dynamics were followed up in acute and subacute brain injuries. Neurosonographic signs of ventricular hemorrhage and temporotentorial wedging are described. The paper also indicates the informative value of dynamic neurosonographic monitoring in patients with severe brain injury in order to define treatment policy.
Assuntos
Encefalopatias/diagnóstico por imagem , Lesões Encefálicas/diagnóstico por imagem , Ecoencefalografia , Fraturas Cranianas/diagnóstico por imagem , Doença Aguda , Adolescente , Adulto , Idoso , Encefalopatias/etiologia , Encefalopatias/cirurgia , Lesões Encefálicas/complicações , Lesões Encefálicas/cirurgia , Coma/diagnóstico por imagem , Coma/etiologia , Coma/cirurgia , Ecoencefalografia/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Monitorização Intraoperatória , Período Pós-Operatório , Fraturas Cranianas/complicações , Fraturas Cranianas/cirurgiaRESUMO
The paper provides the authors' experience in using neurosonography in the diagnosis of osteoneural abnormalities of the vertebral canal and craniovertebral passage in 22 patients operated on for syringomyelia and Type 1 Arnold-Chiari malformation. Comparison of computed tomographic and X-ray findings and intraoperative verification indicate that neurosonography is of high informative value and they provide evidence for its use in a diagnostic set of follow-ups of patients operated on.
Assuntos
Malformação de Arnold-Chiari/diagnóstico por imagem , Vértebras Cervicais/diagnóstico por imagem , Canal Medular/diagnóstico por imagem , Siringomielia/diagnóstico por imagem , Adolescente , Adulto , Malformação de Arnold-Chiari/cirurgia , Doença Crônica , Fossa Craniana Posterior , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Período Pós-Operatório , Siringomielia/cirurgia , Ultrassonografia/instrumentação , Ultrassonografia/métodosRESUMO
The possibilities of neurosonography (NSG) application in the diagnosis of tumors of the brain were studied in 16 children of the age from 1 month to 2 years. Standard NSG age indices for principal anatomic brain compartments as well as both direct and indirect diagnostic signs of tumors are presented. It is shown that NSG is a method of choice in screening of children of early age for brain tumor. This permits both to find it on an early stage, before the development of the pronounced cerebral and dislocation syndromes, and to make a grounded choice of surgical policy.