{"id":1636,"date":"2010-03-18T11:33:43","date_gmt":"2010-03-18T10:33:43","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=1636"},"modified":"2010-03-29T13:34:54","modified_gmt":"2010-03-29T12:34:54","slug":"mr-och-lumbalpunktion","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/mr-och-lumbalpunktion","title":{"rendered":"MR och lumbalpunktion"},"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>\u00a0Om man misst\u00e4nker att\u00a0 en tum\u00f6r v\u00e4xer intill hj\u00e4rnans h\u00e5lrum kan man d\u00e5 se den p\u00e5 MR?<br \/>\nEller om trycket i h\u00e5lrummet \u00e4r f\u00f6r h\u00f6gt. Ser man detta p\u00e5 MR?\u00a0 CT visade inget.<br \/>\nVet inte vad man misst\u00e4nker, n\u00e4r man f\u00f6resl\u00e5r att man skall g\u00e5 in och ta prov p\u00e5 ryggm\u00e4rgsv\u00e4tskan. Vill undvika detta. Skulle f\u00f6redra MR. Har haft huvudv\u00e4rk sedan 14 januari. Sv\u00e5rast n\u00e4r jag ligger ner.<\/p>\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>\u00a0MR \u00e4r mycket bra p\u00e5 att visa substansf\u00f6r\u00e4ndringar i hj\u00e4rnparenkymet, hj\u00e4rnhinnor, h\u00e5lrum och ryggm\u00e4rg. \u00c4ven CT\u00a0avbildar hj\u00e4rnan bra.<br \/>\nOm trycket \u00e4r f\u00f6r h\u00f6gt i hj\u00e4rnans h\u00e5lrum visar sig detta oftast genom vidgade ventriklar (h\u00e5lrum). F\u00f6r detta beh\u00f6vs ingen MR-unders\u00f6kning utan detta ses bra med CT.<\/p>\n<p>Om man trots fr\u00e5nvaron av patologiska fynd p\u00e5 CT-bilderna starkt misst\u00e4nker sjuklig f\u00f6r\u00e4ndring f\u00e5r man g\u00e5 vidare i utredningen med andra diagnostiska verktyg.<br \/>\nDessa kan d\u00e5 vara CT-hj\u00e4rna <em>med<\/em> kontrast (om inte\u00a0detta redan gjorts), unders\u00f6kning med MR, skintigrafi, prov p\u00e5 likvor, mm.<\/p>\n<p>Kan h\u00e5lla med om att en lumbalpunktion inte\u00a0l\u00e5ter s\u00e5 tilltalande men den information man f\u00e5r av prov p\u00e5 likvor \u00e4r mycket v\u00e4rdefull i det diagnostiska arbetet med att finna en orsak till din huvudv\u00e4rk. ( N\u00e5len man sticker med \u00e4r ca. 0.7mm tjock ). Samtidigt med att ett prov tas kan man \u00e4ven, via samma n\u00e5l, passa p\u00e5 att m\u00e4ta trycket i likvor om s\u00e5 \u00f6nskas.<\/p>\n<p>Detta prov g\u00f6rs normalt inte p\u00e5 r\u00f6ntgen utan endast i de f\u00e5 fall d\u00e4r det visar sig vara sv\u00e5rt att f\u00e5 n\u00e5len in r\u00e4tt i ryggkanalen. Man tar d\u00e5 hj\u00e4lp av en radiolog som punkterar ryggkanalen i nedre delen av l\u00e4ndryggen\u00a0med hj\u00e4lp av\u00a0&#8221;genomlysning&#8221;.<\/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>\u00a0Om man misst\u00e4nker att\u00a0 en tum\u00f6r v\u00e4xer intill hj\u00e4rnans h\u00e5lrum kan man d\u00e5 [&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":[49,141,95,24],"class_list":["post-1636","post","type-post","status-publish","format-standard","hentry","category-mr","tag-landrygg","tag-mr","tag-punktion","tag-undersokning"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/1636","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=1636"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/1636\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=1636"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=1636"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=1636"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}