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2022 | OriginalPaper | Hoofdstuk

9. Beeldvormend onderzoek

Auteurs : Dr. F. J. A. Meijer, Drs. A. W. A. van der Eerden

Gepubliceerd in: Handboek traumatisch hersenletsel

Uitgeverij: Bohn Stafleu van Loghum

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Samenvatting

Beeldvormend onderzoek is van essentieel belang bij de diagnostiek en behandeling van patiënten met traumatisch hoofd-/hersenletsel (THL). Het tijdig signaleren van traumatische afwijkingen aan schedel en hersenen is belangrijk om de uitgebreidheid van het letsel en de juiste behandeling, primair gericht op het voorkomen van secundaire hersenschade, vast/in te stellen. Bij de beoordeling van een CT- of MRI-scan is het dan ook van belang de patronen van (dreigende) hersenschade, en het risico op cerebrale inklemming, te herkennen. In de acute fase is de CT het onderzoek van eerste keus. In de subacute en chronische fase is de MRI van meerwaarde, onder meer door de hogere sensitiviteit voor het aantonen van (diffuse) traumatische axonale schade. Ontwikkeling van de MRI-techniek geeft steeds meer mogelijkheden om traumatisch hersenletsel in kaart te brengen. Een MRI-scan van de hersenen kan bijdragen aan een inschatting van de prognose bij licht, middelzwaar en ernstig THL.
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Metagegevens
Titel
Beeldvormend onderzoek
Auteurs
Dr. F. J. A. Meijer
Drs. A. W. A. van der Eerden
Copyright
2022
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-368-2659-4_9