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Dissektionen

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Duplexsonographie der hirnversorgenden Arterien

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Zusammenfassung

Dissektionen der hirnversorgenden Gefäße können grundsätzlich alle Gefäßbereiche betreffen, Prädilektionsstellen sind die distale A. carotis interna und die A. vertebralis im V3/V4 Segment. Die Ultraschalldiagnostik kann hier direkt Dissektionen nachweisen (als Stenosen, Verschlüsse und mit Wandhämatom) oder es finden sich indirekte Zeichen eines Strombahnhindernisses. Im Karotisbereich finden sich extrakraniell als typische Befunde der Ultraschalldiagnostik das Wandhämatom, das doppelte oder falsche Lumen, die Wandlefze und/oder die zipfelig zulaufende Einengenung («Bischofsmütze»). Distale Dissektionen führen zu einem «string sign» und häufig zu einer langstreckigen Lumeneinengung.

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Authors and Affiliations

  1. Neurowissenschaftliche Gutachtenstelle, Bezirkskrankenhaus Günzburg, Ludwig-Heilmeyer Straße 2, 89312, Günzburg, Deutschland

    Prof. Dr. Dr. med. Dipl-Ing. Bernhard Widder

  2. Klinik für Neurologie und Neurologische Rehabilitation, Bezirkskrankenhaus Günzburg, Ludwig-Heilmeyer Straße 2, 89312, Günzburg, Deutschland

    Prof. Dr. med. Gerhard F. Hamann

Authors
  1. Prof. Dr. Dr. med. Dipl-Ing. Bernhard Widder
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  2. Prof. Dr. med. Gerhard F. Hamann
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Editors and Affiliations

  1. Neurowissenschaftliche Gutachtenstelle, Bezirkskrankenhaus Günzburg, Günzburg, Deutschland

    Bernhard Widder

  2. Klinik für Neurologie und Neurologische Rehabilitation, Bezirkskrankenhaus Günzburg, Günzburg, Deutschland

    Gerhard F. Hamann

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Widder, B., Hamann, G.F. (2018). Dissektionen. In: Widder, B., Hamann, G.F. (eds) Duplexsonographie der hirnversorgenden Arterien. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29812-7_18

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  • DOI: https://doi.org/10.1007/978-3-642-29812-7_18

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-29811-0

  • Online ISBN: 978-3-642-29812-7

  • eBook Packages: Medicine (German Language)

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