{"id":4140,"date":"2011-06-27T15:07:34","date_gmt":"2011-06-27T14:07:34","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=4140"},"modified":"2011-06-29T14:36:58","modified_gmt":"2011-06-29T13:36:58","slug":"hemangiom-och-rotblockad","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/hemangiom-och-rotblockad","title":{"rendered":"Hemangiom och rotblockad"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0pt none;\" title=\"Fr\u00e5ga\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_faq.gif\" alt=\"\" width=\"12\" height=\"13\" \/> Vid MR av l\u00e4ndrygg fanns h\u00e4mangiom i kotkroppen TH 12. Vad betyder det? Beh\u00f6vs n\u00e5gon \u00e5tg\u00e4rd? Vilka problem kan den st\u00e4lla till med??<br \/>\nSedan fanns h\u00f6sidigt diskbr\u00e5ck L4-L5 med kompression av h\u00f6 L5-roten. L3-L4 l\u00e4tt buktande disk med facettledsp\u00e5lagringar f\u00f6rtr\u00e4nger de laterala recesserna. Kan ge p\u00e5verkan p\u00e5 L4-r\u00f6tterna lateralt.<br \/>\nKan detta behandlas och h\u00e4va symptomen? Vid vilkan skada finns risk f\u00f6r p\u00e5verkan p\u00e5 bl\u00e5sa o tarm?<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0pt none;\" title=\"Svar\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\" alt=\"\" width=\"12\" height=\"13\" \/> Sk. <em>vertebralhemangiom<\/em> \u00e4r en typ av k\u00e4rlmissbildning i kotkroppen. Ofta ses denna som en liten del av kotkroppen som d\u00e5 mer s\u00e4llan ger n\u00e5gra symtom. Om hemangiomet ev. p\u00e5verkar omgivande nerver, ryggm\u00e4rg eller spinalkanalen pga. hemangiomet v\u00e4xer till <em>utanf\u00f6r<\/em> kotkroppen kan detta d\u00e5 ge ryggsm\u00e4rtor.<br \/>\nMen hur och n\u00e4r hemangiom behandlas \u00e4r inte v\u00e5rt omr\u00e5de.<\/p>\n<p><em>Nervrotsp\u00e5verkan<\/em> i l\u00e4ndryggen kan ev. lindras med en sk. rotblockad. Man ska f\u00f6rst genomg\u00e5tt en MR eller r\u00f6ntgen av ryggen f\u00f6r att diagnostisera misst\u00e4nkta rotp\u00e5verkan och niv\u00e5. Oftast \u00e4r denna lokaliserat i nedre delen av l\u00e4nd-korsryggen d\u00e4rifr\u00e5n nervbanorna g\u00e5r ner i benen.<br \/>\nSj\u00e4lva blockaden g\u00e5r ut p\u00e5 att man tempor\u00e4rt behandlar sj\u00e4lva nervroten terapeutiskt med en blandning av kortison och lokalbed\u00f6vning. Detta d\u00e4mpar inflammationen runt nerven som d\u00e5 ocks\u00e5 (f\u00f6rhoppningsvis) ger bra sm\u00e4rtlindring. Denna effekt kan h\u00e5lla i sig allt fr\u00e5n knappt 1 till 3-4 m\u00e5nader. Det \u00e4r v\u00e5ra radiologer som g\u00f6r denna behandling p\u00e5 r\u00f6ntgen.<br \/>\nMen som allt annan med r\u00f6ntgen m\u00e5ste patienten f\u00e5tt en remiss fr\u00e5n egen l\u00e4kare f\u00f6rst.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0pt none;\" title=\"Svarat av\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_profile.gif\" alt=\"\" width=\"12\" height=\"13\" \/> K.T. rtgssk<br \/>\nR\u00f6ntgenavdelningen Helsingborgs lasarett<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Vid MR av l\u00e4ndrygg fanns h\u00e4mangiom i kotkroppen TH 12. Vad betyder det? [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[63,107,49,76],"class_list":["post-4140","post","type-post","status-publish","format-standard","hentry","category-konventionellrtg","tag-diskbrack","tag-hemangiom","tag-landrygg","tag-rotblockad"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/4140","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=4140"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/4140\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=4140"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=4140"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=4140"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}