Checkliste Neurologie, 4. Auflage by Holger Grehl, Frank Reinhardt

By Holger Grehl, Frank Reinhardt

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Extra info for Checkliste Neurologie, 4. Auflage

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Ist nicht ausreichend, da Plastik- oder Gefriereinbettung und die darauf beruhenden Untersuchungen ohne eine erneute Biopsie nicht sinnvoll nachgeholt werden können. Die Indikationsstellung zu einer Biopsie (speziell Nervenbiopsie) unter solchen Bedingungen ist ethisch – außer in sehr seltenen Notfallsituationen – nicht vertretbar. Muskelbiopsie ...................................................................................... ̈ ̈ 32 Indikationen: ț Nachweis und Typisierung einer Myositis (Dermatomyositis, Polymyositis).

Ist die Drainage darüber hinaus erforderlich, sollte – außer bei Blutungen oder Infektionen – eine Shuntanlage erwogen werden. Wert eines prophylaktischen Katheterwechsels oder einer prophylaktischen Antibiotikagabe zur Senkung der Infektionsgefahr ist nicht erwiesen! Komplikationen (den Patienten bzw. ggf. Betreuer darüber aufklären): ț Allgemeines Narkoserisiko (abhängig vom angewendeten Verfahren). ț Blutungen (intraventrikulär, intraparenchymatös), Infektionen, Verletzungen des Hirngewebes.

Checkliste Neurologie (ISBN 978-3131262745) © 2008 Georg Thieme Verlag KG, Stuttgart ̈ Ursachen einer Pleozytose: ț Allgemein: Reizung der Meningen (Ǟ Übertritt von Zellen aus Blut oder Gewebe). Entzündliche Prozesse in liquorfernen Regionen des Gehirns können (zumindest initial) ohne Veränderungen im Liquor verlaufen. ț Speziell: s. Tab. 5 S. 30. Zelldifferenzierung . . . . . . . . . . . . (Zytologie) ............................................................. ̈ Anfertigung des Präparats: ̈ Cave: Rasche Autolyse der Zellen im Liquor Ǟ ein beurteilbares Präparat muss innerhalb von 30 – 60 min nach Punktion angefertigt werden!

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