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Schädel- und Hirntrauma

Teil 2: Intraaxiale Verletzungen, sekundäre Verletzungen

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Zusammenfassung

Die bildgebenden Verfahren zur Abklärung auf ein Schädel- und Hirntrauma werden vorgestellt. Die grundsätzlichen Verletzungsmechanismen werden erläutert und ihre Bildgebung wird beschrieben. Die Computertomographie ist initial und im akuten Verlauf die wichtigste Methode. Die Magnetresonanztomographie ist der Computertomographie diagnostisch überlegen, spielt in der akuten Phase jedoch keine Rolle. Im 1. Teil werden klinische Klassifikationen, extraaxiale Verletzungen und Kontusionen, im 2. Teil intraaxiale und sekundäre Verletzungen beschrieben.

Abstract

This article describes the imaging tools for efficient diagnostic management of head trauma victims. The basic mechanisms of brain injuries are explained and the imaging features are described. Computed tomography remains the most important method for the initial screening and follow-up investigation. Though magnetic resonance imaging has higher sensitivity to most traumatic lesions, it does not play an important role in the acute phase of head trauma patients. In the first part of this paper clinical classifications, imaging modalities, extra-axial injuries, and contusions are described. In the second part of this paper intra-axial and secondary injuries are discussed.

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Authors and Affiliations

  1. Abteilung für Neuroradiologie, Radiologische Klinik, Universität des Saarlandes, Homburg

    T. Struffert, C. Axmann & W. Reith

  2. Abteilung für Neuroradiologie, Radiologische Klinik, Universität des Saarlandes, 66421 , Homburg, Saar

    T. Struffert

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  1. T. Struffert
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  2. C. Axmann
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  3. W. Reith
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Correspondence to T. Struffert.

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Struffert, T., Axmann, C. & Reith, W. Schädel- und Hirntrauma. Radiologe 43, 1001–1016 (2003). https://doi.org/10.1007/s00117-003-0962-z

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