{"id":12626,"date":"2023-10-30T18:45:27","date_gmt":"2023-10-30T17:45:27","guid":{"rendered":"https:\/\/www.aitertc.it\/web\/?p=12626"},"modified":"2024-07-10T13:44:59","modified_gmt":"2024-07-10T12:44:59","slug":"studio-mielo-tc-nella-sindrome-da-ipotensione-liquorale-spontanea-post-immersione-subacquea","status":"publish","type":"post","link":"https:\/\/www.aitertc.it\/web\/2023\/10\/30\/studio-mielo-tc-nella-sindrome-da-ipotensione-liquorale-spontanea-post-immersione-subacquea\/","title":{"rendered":"p(16)_Studio Mielo-TC nella Sindrome da Ipotensione Liquorale spontanea post immersione subacquea"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"12626\" class=\"elementor elementor-12626\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d97d80a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d97d80a\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a311c24\" data-id=\"a311c24\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4f168fa elementor-widget elementor-widget-image\" data-id=\"4f168fa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"573\" src=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/16_Sacchetti-1024x573.jpg\" class=\"attachment-large size-large wp-image-12953\" alt=\"\" srcset=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/16_Sacchetti-1024x573.jpg 1024w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/16_Sacchetti-300x168.jpg 300w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/16_Sacchetti-768x430.jpg 768w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/16_Sacchetti-1536x860.jpg 1536w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/16_Sacchetti.jpg 1912w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-139f8ae elementor-widget elementor-widget-text-editor\" data-id=\"139f8ae\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>TSRM Dott. Sacchetti Patricio Alexi<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7e45db5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7e45db5\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ce1f4f4\" data-id=\"ce1f4f4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4fcd44b elementor-widget elementor-widget-text-editor\" data-id=\"4fcd44b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Introduzione:<\/strong><\/p><p>La Sindrome da ipotensione liquorale spontanea \u00e8 una condizione in cui \u00e8 presente una perdita di Liquor occulta senza che sia stata eseguita una puntura lombare o procedure chirurgiche cranio-spinali.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3a9d68d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3a9d68d\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-20197ea\" data-id=\"20197ea\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2a578d4 elementor-widget elementor-widget-text-editor\" data-id=\"2a578d4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Il sintomo tipico \u00e8 la cefalea in stazione eretta che migliora o regredisce in posizione distesa. Altri sintomi sono la diplopia, nausea e capogiro, alterazioni dell\u2019udito, alterazioni della mimica facciale e del gusto, facile affaticabilit\u00e0. Possono essere presenti confusione mentale o<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-d32c3d5\" data-id=\"d32c3d5\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c98bd17 elementor-widget elementor-widget-image\" data-id=\"c98bd17\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"300\" height=\"230\" src=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine1-2.jpg\" class=\"attachment-large size-large wp-image-12628\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d581a6d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d581a6d\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8912993\" data-id=\"8912993\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-32fd9b3 elementor-widget elementor-widget-text-editor\" data-id=\"32fd9b3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>disturbi cognitivi e comportamentali. Raramente pu\u00f2 portare al coma. I sintomi possono essere progressivi o improvvisi e condizionare la vita quotidiana in modo severo.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-076e022 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"076e022\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-131d304\" data-id=\"131d304\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ea9a2e5 elementor-widget elementor-widget-text-editor\" data-id=\"ea9a2e5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Il paziente preso in esame, durante un\u2019immersione subacquea in Egitto, ha eseguito una risalita troppo veloce facendo quindi scendere in modo repentino la pressione ambiente e sovraccaricando i meccanismi naturali di desaturazione e regolazione della pressione.<br \/>Ha iniziato ad accusare dolore alla spalla sinistra e successivamente debolezza alle gambe e, in misura minore, agli arti superiori accompagnato da sensazione di aghi a gambe e mani. Infine e divenuto incapace di restare in stazione eretta o di deambulare senza aiuto.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2b88da2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2b88da2\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-1d17e5b\" data-id=\"1d17e5b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ab98be5 elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"ab98be5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"656\" height=\"437\" src=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine2-2.jpg\" class=\"attachment-large size-large wp-image-12629\" alt=\"\" srcset=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine2-2.jpg 656w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine2-2-300x200.jpg 300w\" sizes=\"(max-width: 656px) 100vw, 656px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2bc95d1\" data-id=\"2bc95d1\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8b0599b elementor-widget elementor-widget-text-editor\" data-id=\"8b0599b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Inizialmente \u00e8 stato trattato con camera iperbarica presso il centro di Sharm el Sheikh e, successivamente tornato in Italia, previo visite neurologiche e riabilitative si \u00e8 proceduto ad eseguire uno studio Mielo-Tc.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ef19c3a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ef19c3a\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-47abe23\" data-id=\"47abe23\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6440537 elementor-widget elementor-widget-text-editor\" data-id=\"6440537\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>L\u2019obiettivo principale \u00e8 stato studiare l\u2019intera colonna vertebrale iniettando del Mezzo di Contrasto (MDC) direttamente nello spazio subaracnoideo attraverso una puntura lombare, per identificare il punto di deliquorazione.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f0b43e0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f0b43e0\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c0b13b0\" data-id=\"c0b13b0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e865875 elementor-widget elementor-widget-text-editor\" data-id=\"e865875\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Metodo:<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c293ac7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c293ac7\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-98952c8\" data-id=\"98952c8\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9b218dd elementor-widget__width-initial elementor-widget elementor-widget-image\" data-id=\"9b218dd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"84\" height=\"178\" src=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine3-4.jpg\" class=\"attachment-large size-large wp-image-12630\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-fd28c44\" data-id=\"fd28c44\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5103b3b elementor-widget elementor-widget-text-editor\" data-id=\"5103b3b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Il paziente \u00e8 stato posto sul lettino TC in posizione di decubito laterale, assumendo una posizione fetale. Il medico ha eseguito una puntura lombare (rachicentesi) a livello L2-L3 conducendo l\u2019ago dedicato nello spazio sub aracnoideo mentre il TSRM ha acquisito la parte interessata eseguendo le ricostruzioni in tempo reale lungo l\u2019asse principale dell\u2019ago man mano che entrava.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-608897f\" data-id=\"608897f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2cf7d85 elementor-widget elementor-widget-image\" data-id=\"2cf7d85\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"84\" height=\"178\" src=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine4-2.jpg\" class=\"attachment-large size-large wp-image-12631\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f49829f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f49829f\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-dc29838\" data-id=\"dc29838\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0b70cab elementor-widget elementor-widget-text-editor\" data-id=\"0b70cab\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Quando il liquor \u00e8 fuoriuscito dall\u2019ago il medico ha collegato una siringa e iniettato pochi ml di MDC organo Iodato (8ml).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1cad5d3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1cad5d3\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-778d18c\" data-id=\"778d18c\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-73ed879 elementor-widget elementor-widget-text-editor\" data-id=\"73ed879\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Il TSRM ha posto il paziente in posizione Trendelenburg per circa 5 minuti utilizzando una barella dedicata. In questa maniera il MDC \u00e8 defluito verso la parte cervicale della colonna.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-63e5def\" data-id=\"63e5def\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9de24a6 elementor-widget elementor-widget-image\" data-id=\"9de24a6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"266\" height=\"127\" src=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Immagine5-2.jpg\" class=\"attachment-large size-large wp-image-12632\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-83b5f96 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"83b5f96\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6f882fb\" data-id=\"6f882fb\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4eaab14 elementor-widget elementor-widget-text-editor\" data-id=\"4eaab14\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Il paziente \u00e8 stato riposto nuovamente sul lettino TC in posizione prona e il TSRM ha acquisito una TC spirale rachide in toto. Successivamente \u00e8 stato fatto girare in posizione supina e acquisita di nuovo una Tc spirale rachide in toto.<br \/>In entrambe le acquisizioni \u00e8 stata limitata la dose il pi\u00f9 possibile prediligendo un\u2019apparecchiatura di ultima generazione che ha detettori ottimizzati e modulazione automatica sia dei Kv che mAs. <br \/>Al termine dell\u2019esame il TSRM ha eseguito le ricostruzioni MPR sui piani coronale e sagittale e MPR Curve seguendo il decorso della colonna. <br \/>Le immagini acquisite hanno mostrato lo spandimento del MDC in tutto lo spazio liquorale fino alle cisterne della base con fuori uscita del MDC nello spazio epidurale a livello del tratto cervicale con massima impregnazione a livello C3-C4, che ha confermato la perdita di liquor.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-342e21f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"342e21f\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ee46492\" data-id=\"ee46492\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2a115df elementor-widget elementor-widget-image\" data-id=\"2a115df\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"610\" height=\"666\" src=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Screenshot-2023-10-30-184534.png\" class=\"attachment-large size-large wp-image-12633\" alt=\"\" srcset=\"https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Screenshot-2023-10-30-184534.png 610w, https:\/\/www.aitertc.it\/web\/wp-content\/uploads\/2023\/10\/Screenshot-2023-10-30-184534-275x300.png 275w\" sizes=\"(max-width: 610px) 100vw, 610px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-bc14839 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"bc14839\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5cb7d87\" data-id=\"5cb7d87\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e47ff6d elementor-widget elementor-widget-text-editor\" data-id=\"e47ff6d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Conclusioni:<\/strong><\/p><p>Il TSRM ha collaborato con il medico nella gestione del paziente e nelle acquisizioni e ricostruzioni pre e post iniezione di MDC. <br \/>Grazie all\u2019utilizzo di Tomografi di ultima generazione la dose di radiazioni somministrata \u00e8 stata ridotta fortemente mantenendo per\u00f2 alta la qualit\u00e0 delle immagini.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>TSRM Dott. Sacchetti Patricio Alexi Introduzione: La Sindrome da ipotensione liquorale spontanea \u00e8 una condizione in cui \u00e8 presente una perdita di Liquor occulta senza che sia stata eseguita una&hellip;<\/p>\n","protected":false},"author":2,"featured_media":12953,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[499,1],"tags":[318],"class_list":["post-12626","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bibliografia-e-linee-guida","category-news","tag-eposter2023"],"_links":{"self":[{"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/posts\/12626","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/comments?post=12626"}],"version-history":[{"count":11,"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/posts\/12626\/revisions"}],"predecessor-version":[{"id":12956,"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/posts\/12626\/revisions\/12956"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/media\/12953"}],"wp:attachment":[{"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/media?parent=12626"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/categories?post=12626"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.aitertc.it\/web\/wp-json\/wp\/v2\/tags?post=12626"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}