{"id":4153,"date":"2011-06-29T14:05:56","date_gmt":"2011-06-29T13:05:56","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=4153"},"modified":"2011-06-29T14:35:15","modified_gmt":"2011-06-29T13:35:15","slug":"hur-bedoms-en-ct-skalle","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/hur-bedoms-en-ct-skalle","title":{"rendered":"Hur bed\u00f6ms en CT-skalle"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0px;\" title=\"Fr\u00e5ga\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_faq.gif\" alt=\"\" width=\"12\" height=\"13\" \/>\u00a0Jag undrar om man kan missa en tum\u00f6r\/cysta i hj\u00e4rnan, om man inte anv\u00e4nder kontrast vi datortomografi? Vad kollar ni efter i era bilder med fr\u00e5gest\u00e4llning tum\u00f6r utan kontrast?<\/p>\n<div id=\"attachment_4157\" style=\"width: 100px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2011\/06\/ct_hjerna_normal_1.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-4157\" class=\"size-thumbnail wp-image-4157 \" title=\"CT-skalle\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2011\/06\/ct_hjerna_normal_1-150x150.jpg\" alt=\"CT-skalle normal symetri\" width=\"90\" height=\"90\" srcset=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2011\/06\/ct_hjerna_normal_1-150x150.jpg 150w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2011\/06\/ct_hjerna_normal_1-300x300.jpg 300w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2011\/06\/ct_hjerna_normal_1.jpg 500w\" sizes=\"auto, (max-width: 90px) 100vw, 90px\" \/><\/a><p id=\"caption-attachment-4157\" class=\"wp-caption-text\">CT-skalle<\/p><\/div>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0px;\" title=\"Svar\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\" alt=\"\" width=\"12\" height=\"13\" \/>\u00a0De flesta initiala CT-unders\u00f6kningarna av skallen d\u00e4r fr\u00e5gest\u00e4llningar fr\u00e5n remittent g\u00e4ller allm\u00e4n patologi (inkl. tum\u00f6r, cysta&#8230;) inom skallen g\u00f6rs oftast utan kontrastmedel. Patienten har d\u00e5 blivit remitterad f\u00f6r en CT-skalle pga.\u00a0mer diffusa\u00a0symtom som d\u00e5 ofta\u00a0beskrivs vara ih\u00e5llande\u00a0huvudv\u00e4rk, yrsel, mm.<\/p>\n<p>En datortomografi (CT) av skallen utan kontrastmedel g\u00f6rs enkelt och snabbt. Denna kan d\u00e5 forhoppningsvis avskriva allvarligare patologi i skallen.\u00a0En ev. vidare utredning kan sedan\u00a0fortg\u00e5 mer &#8221;avslappnat&#8221;.\u00a0<\/p>\n<p>En unders\u00f6kning utan kontrast ger bra bilder utav hj\u00e4rnans utseende samt symetri. V\u00e5ra radiologer tittar d\u00e5 p\u00e5 f\u00f6rh\u00e5llandet mellan den gr\u00e5a och vita substansen. \u00c4ven defekter (infarkt, cysta, bl\u00f6dning, mm.)\u00a0i hj\u00e4rnmassan kan ses (om de inte \u00e4r f\u00f6r sm\u00e5 eller nya). Hj\u00e4rnans mittf\u00e5ra ska vara rak utan \u00f6verskjutning. Likas\u00e5 bed\u00f6ms ventriklarnas storlek.\u00a0\u00c4ven det stora ven\u00f6sa system i bakhuvudet, som leder blodet fr\u00e5n hj\u00e4rnan, kan man g\u00f6ra en grov\u00a0bed\u00f6mning av\u00a0utan kontrast.<\/p>\n<p>Enbart en\u00a0r\u00f6ntgenunders\u00f6kning\u00a0kan aldrig anses som 100%. Denna unders\u00f6kning ska ses som en kompletterande unders\u00f6kning till den kliniska utredningen d\u00e4r misstankar avskrives helt, st\u00e4rks eller bekr\u00e4ftast.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0px;\" title=\"Svarat av\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_profile.gif\" alt=\"\" width=\"12\" height=\"13\" \/>\u00a0K.T. rtgssk<br \/>\nR\u00f6ntgenavdelningen Helsingborgs lasarett<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0Jag undrar om man kan missa en tum\u00f6r\/cysta i hj\u00e4rnan, om man inte [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[142,36,60,39,24],"class_list":["post-4153","post","type-post","status-publish","format-standard","hentry","category-ct","tag-ct","tag-cysta","tag-skalle","tag-svaret","tag-undersokning"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/4153","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=4153"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/4153\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=4153"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=4153"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=4153"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}