{"id":5930,"date":"2015-06-16T13:17:52","date_gmt":"2015-06-16T12:17:52","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=5930"},"modified":"2016-04-06T22:19:11","modified_gmt":"2016-04-06T21:19:11","slug":"chiari-med-staende-mr","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/chiari-med-staende-mr","title":{"rendered":"Chiari med st\u00e5ende MR"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-81\" style=\"border: 0px none; margin: 5px;\" alt=\"Fr\u00e5ga\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_faq.gif\" width=\"12\" height=\"13\" \/>Jag letar efter st\u00e4llen i Sverige d\u00e4r det finns vertikal\/uppr\u00e4tt MR (bl.a. f\u00f6r diagnostisering av Chiari malformation). K\u00e4nner till att det finns i Ume\u00e5 men tydligen med f\u00f6r d\u00e5lig uppl\u00f6sning. Undrar om ni vet var n\u00e5gon annanstans det finns?<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-85\" style=\"border: 0px none; margin: 5px;\" alt=\"Svar\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\" width=\"12\" height=\"13\" \/>Chiari kan idag diagnostiseras med s\u00e5v\u00e4l en datortomografi (CT)\u00a0 som &#8221;vanlig&#8221; liggande MR-unders\u00f6kning. Hur behandlingen ser ut beror nog till stor del hur avfl\u00f6det ner i ryggm\u00e4rgskanalen p\u00e5verkas av lillhj\u00e4rnans nedh\u00e4ng (Chiari) inte storleken p\u00e5 sj\u00e4lva nedh\u00e4nget. Tyngdkraften har liten p\u00e5verkan av tonsillernas nedh\u00e4ng i stora nackh\u00e5let. D\u00e4remot p\u00e5verkar nackens vinkel utrymmet i nackh\u00e5lets bakre kanal\u00a0 d\u00e4r fram\u00e5tnick ger mindre utrymme och bak\u00e5tnick ger st\u00f6rre utrymme. En \u00f6ppen MR-kamera ger s\u00e5ledes m\u00f6jlighet att ha den kroppsh\u00e5llningen och g\u00f6ra de r\u00f6relser som under belastning ger besv\u00e4r.<br \/>\nEn mer och mer anv\u00e4nd metod idag \u00e4r sk. <em>Cine-MRI<\/em> d\u00e4r sj\u00e4lva likvorfl\u00f6det filmas. Man har d\u00e5 m\u00f6jlighet att mer exakt avg\u00f6ra likvorfl\u00f6det ner mot ryggm\u00e4rgskanalen oavsett storleken p\u00e5 sj\u00e4lva nedh\u00e4nget.<br \/>\nSt\u00e5ende MR har idag generellt inte nog med &#8221;kraft&#8221; f\u00f6r detaljerade bilder med denna funktion.<\/p>\n<p>St\u00e5ende MR kan vara l\u00e4mpad f\u00f6r unders\u00f6kning av ryggraden, kotdiskarna, kn\u00e4leder, mm. vid belastning. \u00c4ven v\u00e4ldigt kraftiga patienter som inte f\u00e5r plats i den &#8221;normala&#8221; MR-tunneln kan ev. unders\u00f6kas med en sk. \u00f6ppen eller st\u00e5ende MR.<br \/>\nEn MR f\u00f6r st\u00e5ende unders\u00f6kningar finns idag vid Norrlandskliniken i Ume\u00e5 vad vi vet.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft size-full wp-image-83\" style=\"border: 0px none; margin: 5px;\" alt=\"Svarat av\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_profile.gif\" width=\"12\" height=\"13\" \/>K.T. rtgssk<br \/>\nR\u00f6ntgen Helsingborg<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Jag letar efter st\u00e4llen i Sverige d\u00e4r det finns vertikal\/uppr\u00e4tt MR (bl.a. f\u00f6r [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[141,145,24],"class_list":["post-5930","post","type-post","status-publish","format-standard","hentry","category-mr","tag-mr","tag-teknik","tag-undersokning"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/5930","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=5930"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/5930\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=5930"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=5930"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=5930"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}