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Publikacije (38)

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Z. Merhemić, D. Miličić-Pokrajac, A. Bajramovic, G. Sulejmanpasić

Posterior reversible encephalopathy syndrome (PRES) is described neurological condition identifiable by clinical and radiological presentation. It occurs due to elevated blood pressure which exceeds auto-regulatory capacity of brain vasculature. PRES is characterized by headache, confusion, seizures, and altered mental function. In this report we describe a case of eleven-year-old boy who was hospitalized, because of nausea, vomiting, intermittent fever, headache, confusion and distress. Because of suspicion of encephalitis CT and MRI examinations were performed immediately where was established diagnose of PRES syndrome.

B. Dukanović, M. Gojković, M. Bratić, G. Sulejmanpasić

The authors describe a case of "boxer's dementia" which is rarely seen in our literature and even more in clinical practice. Although the patient exhibited fairly mild and discrete symptoms, which gave rise to some suspicion that this might be a case of this rare psychoorganic illness, authors immediately employed all available diagnostic procedures (psychiatric, radiological, neurological, neuropsychological, etc) so as to resolve their diagnostic dilemma. Based on the clinical picture, the result of the diagnostic procedures and the key anamnestic information that a patient was a professional boxer for 15 years, the authors concluded that this was a case of clinical exhibition of chronic encephalopathy, often called dementia pugilistica in literature.

B. Dukanović, M. Gojković, M. Bratić, G. Sulejmanpasić

Economy class syndrome" made headline news in Australia when young girl died from blood clot caused by deep vein thrombosis shortly after getting off a Sydney to London flight. Although medical research is yet to prove a link between long distance travelling and DVT, consumers sholud take precautions. Pain and swelling in one leg is usually the first sign of a DTV, although sometimes there won, t be any symptoms. In one to two percent of cases the blood clot can break away from the vein and travel to other major organs. If it s big enough it may cause breathing problems (pulmonary embolism), and in rare cases--around one in a thousand people with a DVT-death. During the flight: Change your position regularly and be aware of positions which might block your circulation. Regular excercise will help restore blood flow to your legs if you've been sitting for long period of time or in an awkward position. Dehydratation can cause the blood to thiceken. Alcohol and caffeine are known diuretics which may accentuate the effect of dry cabin air and immobility on blood flow. Drink 200 mls (a standards glass) of non-alcoholic fluids every hour and use the need to go to the toilet as an opportunity to change your posture.

Z. Merhemić, Z. Kadenić, M. Nikšić, Alen Humačkić, E. Muftić, G. Sulejmanpasić

UNLABELLED The aim of this study is to access magnetic resonance as the imaging modality of choice in differentiation of cerebellopontine angle tumors. MATERIAL AND METHODS In period of five years in 53 patients were diagnosed CPA tumors. 31 were women, 22 men, range age 14 to 72 years. All patients were examined on 1.0 Tesla magnetic resonance unit, using T1, PD, T2 WI sequences, and after paramagnetic contrast administration T1 W1 in three ortogonal planes. REZULTS: In 44 (83%) patients were diagnosed acoustic schwannoma (NVIII), and 8 patients of these had Neurifibromatosis Type 2. In 2 (4%) patients were diagnosed trigeminal schwannoma (NV), in 2 (4%) hypogossal schwannoma. By 5 (9%) patients were diagnosed meningiomas. All diagnoses were by histology confirm. CONCLUSION Thanks to its multiplanar and multi-parameters capabilities Magnetic resonance allowed precise location and characterization of CPA tumors. MR is the imaging modality of choice for preoperative work-up of cerebellopontine angle tumors.

UNLABELLED The aim of this study is to demonstrate the accuracy of MRI and MR angiography, using 3D and 2D TOF sequences to diagnose vascular malformation in children with non-traumatic intracranial hemorrhage (subarachnoid or intracerebral hemorrhage). PATIENTS AND METHODS In two years period 7 children, 4 boys and 3 girls range age 8 to 14 years with non-traumatic intracranial hemorrhage were examined on 1.0 TMR unit, using T1,PD,T2 WI and 3D and 2D TOF MR angiography with MIP reconstruction. RESULTS In the group of 7 children, 2 were with aneurysms, 2 with AV malformation, and 1 with cavernous angioma. The results of these were correlated with those of IA DSA. The results were in agreement regarding the presence, location and size of aneurysms, the presence, vasculation and drenage of AV malformation. CONCLUSION MRI with MR angiography is rapid and non-invasive examination which can confirm the diagnosis of vascular anomalies in children and to follow them up.

Congenital hemiparesis is defined as an unilateral disorder of movement and posture, with clinical signs of spasticity with flexor hypertonicity, increased tendon reflexes and characteristic posturing. We have examined a group of 26 children with congenital hemiparesis (14 boys and 12 girls) with mean age of 3.5 years (range 6 months to 9 years). 24 had been born at term (% weeks gestation) and 2 were preterm (% completed weeks gestation). From the neuroimaging point of view, congenital hemiparesis form a rather heterogeneous group. CT scans revealed: porencephalic cyst (6), unilateral ventricular enlargement (2), cortical atrophy with unilateral ventricular enlargement (1), hypodense zones resulting from previous hemathermous (4), normal CT scans (6), and 7 cases have not had CT scans for technical reasons (war conditions). Congenital hemiparesis mainly affects term children with prenatal origin in majority of cases. Vascular occlusions (in utero stroke) originating from various pathophysiological factors, maternal or fetal, may result in congenital hemiparesis. Normal CT findings should be revised by using MRI, which provides direct evidence of white matter lesions.

V. Šimunović, J. Vranić, A. Lovrinčević, V. Deletis, G. Sulejmanpasić, D. Stanković, F. Kulenović, N. Čorović et al.

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