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Neuroradiologische Diagnostik bei organisch bedingten psychischen Störungen

  • K. Kohlmeyer

Zusammenfassung

In der neuroradiologischen Diagnostik der akuten und chronischen körperlich begründbaren psychischen Störungen nimmt heute die kraniale Computertomographie (CCT) die erste Stelle ein, gefolgt im großen Abstand von der zerebrale Angiographie. Der Positronen-Emission-Tomographie (PET) kommt in bestimmten Fällen diagnostisch — z. B. wenn es um die differenzielle Pathogenese der Demenzen geht — eine gewisse Bedeutung zu. Jedoch ist ihre Verfügbarkeit zur Zeit noch so eingeschränkt, daß ihre routinemäßige Anwendung keine bedeutende Rolle spielen kann und sie im wesentlichen der Forschung vorbehalten bleibt. Auch eine andere neuro-nuklearmedizinische Methode, die Single-Photon-Emission-Tomographie (SPECT), steht für die Hirn-Diagnostik und -Forschung noch so in den Anfängen, daß sie in einem Beitrag wie diesem nur am Rande berücksichtigt werden kann. Über die Kernspin-Tomographie (KST) — auch Magnetic-Resonance-Tomographie (MRT) genannt — in der Psychiatrie liegen schließlich erst so wenige Untersuchungen und Ergebnisse vor, daß auch sie zwar nicht vollständig, im Vergleich mit der CCT aber noch weitgehend vernachlässigt werden kann. Wo ihr Einsatz diagnostisch und wissenschaftlich gewinnbringend zu sein verspricht, wird sie im Nachfolgenden Erwähnung finden. Die mittels der Magnetresonanz mögliche Spektroskopie (MRS) im Gehirn wird sicher in Zukunft gerade für körperlich begründbare psychische Störungen wertvolle Beiträge liefern können, steht aber zur Zeit noch im Versuchsstadium.

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© Springer-Verlag Berlin Heidelberg 1988

Authors and Affiliations

  • K. Kohlmeyer

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