Zusammenfassung
Neuroradiologische Untersuchungen umfassen die Untersuchungen von Schädel, Wirbelsüle, Hirn und Rükkenmark mittels Röntgennativbildern, Computertomographie (CT), Magnetresonanztomographie (MRT), Angiographie und Myelographie. Die klassischen Rönt gennativuntersuchungen von Schädel und Wirbelsäule sind in den letzten Jahren zunehmend durch die modernen Schnittbildverfahren verdrängt worden, liefern aber bei bestimmten Fragestellungen noch ergänzende Informationen. Die Schnittbildverfahren Computertomographie und Magnetresonanztomographie sind heute die diagnostischen Säulen bei neuroradiologischen Fragestellungen, wobei die Magnetresonanztomographie sogar funktionelle Informationen liefern kann.
Die Anzahl der diagnostischen Angiographien ist z.T. durch nichtinvasive angiographiesähnliche Verfahren wie die CT-Angiographie und MR-Angio graphie zurückgegangen. Dafür hat sich jedoch der Einsatz durch zahlreiche interventionelle endovaskuläre Techniken deutlich erweitert. Hierzu haben insbesondere die zunehmende Miniaturisierung von Kathetern und die Entwicklung von neuen Embolisationsmaterialien beigetragen.
Durch die kernspintomographische Diagnostik des Spinalkanals verringerte sich die Anzahl der Myelographien deutlich. Wenn jedoch die Weite des Spinalkanals auch unter funktionellen Bedingungen bedeutsam ist, hat die Myelographie immer noch ihren Platz.
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Dörfler, A., Forsting, M., Rijntjes, M., Weiller, C. (2006). Neuroradiologische Diagnostik. In: Berlit, P. (eds) Klinische Neurologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-31176-9_7
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