{"id":1432,"date":"2010-01-25T12:13:07","date_gmt":"2010-01-25T11:13:07","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=1432"},"modified":"2010-05-19T08:58:12","modified_gmt":"2010-05-19T07:58:12","slug":"skalle-med-ct-vs-mr","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/skalle-med-ct-vs-mr","title":{"rendered":"Skalle med CT vs. MR"},"content":{"rendered":"<p><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_faq.gif\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-81\" title=\"Fr\u00e5ga\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_faq.gif\" alt=\"Fr\u00e5ga\" width=\"12\" height=\"13\" \/><\/a>\u00a0Man 40 \u00e5r. Pl\u00f6tslig sv\u00e5r huvudv\u00e4rk, som utg\u00e5r fr\u00e5n ett st\u00e4lle till h\u00f6ger om mitten mitt bak i skallen. Molande, ibland ristande sm\u00e4rta fram mot \u00f6ga. Vid strykning med handen \u00f6ver pannan sticker det till.\u00a0 V\u00e4rken har suttit i i 10 dagar nu. CT r\u00f6ntgad f\u00f6r 1 vecka sedan.\u00a0 S\u00e5g bra ut.\u00a0 S\u00f6mnst\u00f6rningar sedan 5 m\u00e5nader tillbaka. K\u00e4nner ingen tr\u00f6tthet. D\u00e5lig kvalitet p\u00e5 den korta s\u00f6mn som blir varje natt.<\/p>\n<p>Fr\u00e5ga: Hur mycket ser man p\u00e5 en CT-r\u00f6ntgen p\u00e5 skallen? Syns hj\u00e4rnbl\u00f6dning, f\u00f6rtr\u00e4ningar och sm\u00e5 tum\u00f6rer? Vad \u00e4r det f\u00f6r skillnad p\u00e5 CT-r\u00f6ntgen och magnetkamraunders\u00f6kning? Kan denna visa n\u00e5got som en CT-r\u00f6ntgen inte visar?<\/p>\n<div id=\"attachment_1445\" style=\"width: 110px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2010\/01\/ct_skalle_1324.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-1445\" class=\"size-thumbnail wp-image-1445\" title=\"ct_skalle_1324\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2010\/01\/ct_skalle_1324-150x150.jpg\" alt=\"ct_skalle_1324\" width=\"100\" height=\"100\" srcset=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2010\/01\/ct_skalle_1324-150x150.jpg 150w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2010\/01\/ct_skalle_1324-300x300.jpg 300w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2010\/01\/ct_skalle_1324.jpg 400w\" sizes=\"auto, (max-width: 100px) 100vw, 100px\" \/><\/a><p id=\"caption-attachment-1445\" class=\"wp-caption-text\">CT-skalle<\/p><\/div>\n<p><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-85\" title=\"Svar\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\" alt=\"Svar\" width=\"12\" height=\"13\" \/><\/a>En CT-skalle \u00e4r oftast f\u00f6rstahandsvalet vid snabbt ins\u00e4ttande f\u00f6r\u00e4ndringar och akuta tillst\u00e5nd inom skallen. Detta f\u00f6r att CT av skallen \u00e4r en <em>snabb unders\u00f6kning<\/em> (2min) och kan g\u00f6ras omg\u00e5ende. Datortomografi (CT) \u00e4r en teknik som avbildar\u00a0kraniet och hj\u00e4rnan bra med en fullt acceptabel uppl\u00f6sning. CT-bilden \u00e4r v\u00e4ldigt kontrastrik. Denna kontrast kan man \u00e4ven p\u00e5verka ytterligare genom att injicera just kontrastmedel i blodet.<br \/>\nP\u00e5 CT-bilderna kan man oftast se bl\u00f6dningar, \u00f6dem, tum\u00f6rer, ev. vidgning av hj\u00e4rnventriklarna (likvor), blodk\u00e4rl (med kontrast), mm. Helt nytillkomna eller sm\u00e5 infarkter <em>kan<\/em> vara sv\u00e5ra att se.\u00a0Dessa syns b\u00e4ttre efter n\u00e5gra timmar d\u00e5 de aktuella delarna av hj\u00e4rnans mjukdelar \u00e4ndrat konsistens.<\/p>\n<div id=\"attachment_1444\" style=\"width: 110px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2010\/01\/mr_skalle_1324.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-1444\" class=\"size-thumbnail wp-image-1444\" title=\"mr_skalle_1324\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2010\/01\/mr_skalle_1324-150x150.jpg\" alt=\"mr_skalle_1324\" width=\"100\" height=\"100\" srcset=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2010\/01\/mr_skalle_1324-150x150.jpg 150w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2010\/01\/mr_skalle_1324-300x300.jpg 300w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2010\/01\/mr_skalle_1324.jpg 400w\" sizes=\"auto, (max-width: 100px) 100vw, 100px\" \/><\/a><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2010\/01\/mr_skalle_1324.jpg\"><\/a><p id=\"caption-attachment-1444\" class=\"wp-caption-text\">MR-hj\u00e4rna<\/p><\/div>\n<p>MR\u00a0\u00a0har h\u00f6gre uppl\u00f6sning\u00a0som b\u00e4ttre\u00a0avbildar hj\u00e4rnans mjuka partier dvs. hj\u00e4rnsubstan, ledningsbanor, hj\u00e4rnhinnor, etc. MR\u00a0tar dock l\u00e4ngre tid (15min f\u00f6r kortaste varianten) f\u00f6r en unders\u00f6kning av skallen varf\u00f6r MR oftast anv\u00e4nds f\u00f6r vidare utredningar\u00a0eller vid\u00a0oklara fynd vid CT-unders\u00f6kningen.<br \/>\nMR &#8221;ser&#8221; allt CT ser dock\u00a0finns det sk. kontraindikationer f\u00f6r MR, dvs. tillf\u00e4llen d\u00e5 man inte kan g\u00f6ra en MR. Dessa kan vara\u00a0inopererad metall-clips i hj\u00e4rnan, metallsplitter i \u00f6gat, Pacemaker, att patienten inte klarar\u00a0av att ligga stilla, mm.<\/p>\n<p><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_profile.gif\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-83\" title=\"Svarat av\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_profile.gif\" alt=\"Svarat av\" width=\"12\" height=\"13\" \/><\/a>\u00a0K.T. rtgssk<br \/>\nR\u00f6ntgenavdelningen Helsingborgs lasarett<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0Man 40 \u00e5r. Pl\u00f6tslig sv\u00e5r huvudv\u00e4rk, som utg\u00e5r fr\u00e5n ett st\u00e4lle till h\u00f6ger [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[142,141,60],"class_list":["post-1432","post","type-post","status-publish","format-standard","hentry","category-mr","tag-ct","tag-mr","tag-skalle"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/1432","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/comments?post=1432"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/1432\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=1432"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=1432"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=1432"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}