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Diagnostic Imaging, Interventional Treatment of Brainstem Lesions and Electrophysiologic Diagnostics

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Brainstem Disorders

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Abstract

Conventional native diagnostics of the skull no longer has an important role in disorders of the brainstem today, and conventional tomography has been completely abandoned for reasons of radiation protection. A similar situation exists with a view to special images of the skull base and the petrous bones (in projections according to Schüller and Stenvers), which have been replaced with thin section computed tomography (CT) scans that have a significantly higher detail resolution. Survey radiographs of the skull in two planes and a radiograph of the back of the head obtained in half-axial projection with the tube tilted toward the vertex are occasionally recommended after craniocerebral trauma and shotgun wounds, or for the detection of other metallic foreign bodies. The finding of fractures of the skull cap or skull base can serve as an indicator of violent assault. If not done at the time of the primary diagnosis, a CT scan is indicated at the latest on detection of a fracture on the plain radiograph, in particular in the presence of space-occupying bleeding.

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  1. Abteilung für Neurologie, Asklepios Klinik Barmbek, Rübenkamp 220, 22291, Hamburg, Germany

    Peter P. Urban

  2. Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA, 02215, USA

    Louis R. Caplan

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Correspondence to Peter P. Urban , Martin Eicke , Jürgen Marx , Frank Thömke , Peter P. Urban , Sandra Bense , Peter P. Urban , Peter P. Urban , Peter P. Urban , Peter P. Urban , Frank Thömke or Peter P. Urban .

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  1. Klinik für Neurologie, Asklepios Klinik Barmbek, Rübenkamp 220, Hamburg, 22291, Germany

    Peter Urban

  2. Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, 02215, Massachusetts, USA

    Louis R Caplan

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Urban, P.P., Caplan, L.R. (2011). Diagnostic Imaging, Interventional Treatment of Brainstem Lesions and Electrophysiologic Diagnostics. In: Urban, P., Caplan, L. (eds) Brainstem Disorders. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-04203-4_2

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  • DOI: https://doi.org/10.1007/978-3-642-04203-4_2

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-04202-7

  • Online ISBN: 978-3-642-04203-4

  • eBook Packages: MedicineMedicine (R0)

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