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Bildgebung beim Querschnittpatienten

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Kompendium Orthopädische Bildgebung

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Zusammenfassung

Eine akute traumatische Querschnittlähmung erfordert unmittelbare diagnostische und therapeutische Maßnahmen. Die radiologische Diagnostik in der Akutphase dient der Bestimmung des Ausmaßes der Verletzung sowie potenzieller Begleitverletzungen, um sekundäre Verletzungen zu vermeiden und die adäquate Therapie zu wählen. Auch die Überwachung des Therapieerfolges, z. B. die Beurteilung der Position und Stabilität osteosynthetischer Implantate, erfolgt mit radiologischen Verfahren. Nichttraumatische Ursachen einer Querschnittlähmung, wie Ischämien, spontane Blutungen, benigne oder maligne spinale Tumoren, vaskuläre Fehlbildungen oder Entzündungen des Rückenmarks, erfordern ebenfalls bildgebende Diagnostik. Bei chronischer Querschnittlähmung treten oftmals Komplikationen auf, wie Druckgeschwüre oder heterotope Ossifikationen. Nach Verletzungen des Rückenmarks kann auch noch nach vielen Jahren eine posttraumatische Syringomyelie auftreten.

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Authors and Affiliations

  1. Abteilung für Neuroradiologie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg

    Dr. med. M. Wolf

  2. Abteilung für Neuroradiologie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg

    Prof. Dr. med. S. Hähnel

  3. Klinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg

    Prof. Dr. med. M.-A. Weber

  4. SRH Klinikum Karlsbad-Langensteinbach, Guttmannstraße 1, 76307, Karlsbad

    Dr. med. C. H. Fürstenberg

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  1. Dr. med. M. Wolf
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  2. Prof. Dr. med. S. Hähnel
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  3. Prof. Dr. med. M.-A. Weber
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  4. Dr. med. C. H. Fürstenberg
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Editors and Affiliations

  1. Klinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Heidelberg, Heidelberg, Deutschland

    Marc-André Weber M.Sc

  2. SPORTHOPAEDIE Heidelberg, Heidelberg, Deutschland

    Nikolaus Streich

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Wolf, M., Hähnel, S., Weber, MA., Fürstenberg, C. (2017). Bildgebung beim Querschnittpatienten. In: Weber, MA., Streich, N. (eds) Kompendium Orthopädische Bildgebung. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-50525-0_14

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  • DOI: https://doi.org/10.1007/978-3-662-50525-0_14

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