Curs 4 Sindroamul Parietal.ppt

8/19/2019 Curs 4 Sindroamul Parietal.ppt

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CURS TORACE

APARATUL RESPIRATOR

PROF.DR. IOAN CODOREAN



SINDROAMELE TORACICE

• IMAGINEA RADIOGRAFICA A TORACELUI ESTE REPREZENTATA DE

CUTIA TORACELUI, CEI DOI PLAMANI, MEDIASTIN SI CORDUL

• SEMNELE RADIOLOGICE INDUSE DE PATOLOGIA TORACELUI

POT FI GRUPATE IN RAPORT CU STRUCTURILE ANATOMICE

AFECTATE IN MOD PRIORITAR REALIZAND MAI MULTE

SINDROAME.




• SINDROMUL PARIETAL

• SINDROMUL PLEURAL

• SINDROAMELE PULMONARE

A-SINDROMUL ALVEOLAR

B-SINDROMUL INTERSTITIAL

C-SINDROMUL BRONSIC

D-SINDROMUL VASCULAR

E-SINDROMUL PARENCHIMATOS

• SINDROMUL MEDIASTINAL

• SINDROMUL CARDIAC




1. SINDROMUL PARIETAL Ansambll !" s"mn" #a!$%l%&$'" '" (#a!' a)"'(a#"a

*"#"("l$ (%#a'$' +*a#($ m%$, s'"l"(,!$a)#a&m

•inglobeaza

leziunile dezvoltate la nivelul toraelui o!o! !i ale

!truturilor "oi toraie.



.

Anato"i# $eretele torai e!tealatuit din%

$arti "oi %

& tegu"ent& glanda "a"ara

& "u!'ii toraelui

& dia(rag"

!'eletul utiei toraie%& oloana vertebrala toraala

& oa!te

& !tern

SINDROMUL PARIETAL



ANATO)IA RADIOLO*ICA A CUTIEI

TORACICE

• C($a (%#a'$'a "s(" '%ns($($(a !$n

*$"s" s'"l"($'" s$ s(#'(#$ m%$

!$n 'a#" s" *%( $/al$/a

- ms'$$ (%#a'$'$,

- &lan!a mama#a - %as"l" '"n(#$$ s'a*la#"0

'la$'l"l", s'a*l"l" s$ "*$)$/"l"

*#%$mal" al" m"#s#$l%#.•

•P" #a!$%&#a)$a (%#a'$'a s"$/al$/"a/a 's'a (%#a'$'a,

m"!$as($nl s$ '%#!l



SINDROMUL PARIETAL

BR"*#"/"n(a#"a s'"ma($'2 3n !"(al$ a

*"#"("l$ (%#a'$'0

1- *lam4n5

6 7 *l"#a $s'"#al25

8 7 *l"#a *a#$"(al259 7 &#2s$m"a "(#a*l"#al25

: 7 )as'$a "n!%(%#a'$'25

; 7 m. $n("#'%s(al $n("#n5

< 7 &#2s$m"a =$ as"l" $n("#'%s(al"5

> 7 m. $n("#'%s(al "("#n5 ? - ("&m"n(

El"m"n(" !" ana(%m$" s"'($%nala

P"#"(" (%#a'$'



SINDROMUL PARIETAL• LEZIUNILE PARTILOR MOI

+ C#"s("#$ l%'al$/a(" al" &#%s$m$$ *"#"("l$

• %*a'$(a($ %m%&"n",• $n("ns$(a(" a#$ab$l",• #a'%#!a(" $n *an(a l$na, ""n(al ' l$/"#" (#ans*a#"n( !" !"ma#'a($" )a(a !" *laman

+!"/%l(a(" "n!%'a$(a#

+ C#"s("#$@ #"!'"#$ !$)/" al" &#%s$m$$ *"#"("l$ ,o"$arativ-• $*"#(#%)$" m. *"'(%#al

• a&"n"/$" !" m. *"'(%#al• as$m"(#$$ '%n&"n$(al"• mas("'(%m$"• a(#%)$" ms'la#a !" 'a/a n"#%l%&$'a

+ Cal'$)$'a#$ 0• a!"n%*a($$

• *a#a/$(%/"• "ma(%am" "'$

+ H$*"#(#ans*a#"n("0• "m)$/"m sb'(ana(



SINDROMUL PARIETAL

• LEZIUNILE PARTILOR MOI

+ C#"s("#$ l%'al$/a(" al"&#%s$m$$ *"#"("l$

• o$aitati o"ogene#inten!itate variabile#raordate in $anta lina#eventual u lizereutran!$arent dede"aratie (ata de

$la"an ,dezvoltateendoavitar-



SINDROMUL PARIETAL


+ C#"s("#$@ #"!'"#$ !$)/" al" &#%s$m$$ ,o"$arativ-

• 'i$ertro(ie ". $etoral• a!i"etrii ongenitale

• agenezie de ". $etoral

• "a!teto"ie

• atro(ie "u!ulara de

auza neurologia



SINDROMUL PARIETAL


+ Cal'$)$'a#$ 0

• adeno$atii

• $arazitoze

• 'e"atoa"e ve'i

+ H$*"#(#ans*a#"n("0• e"(ize" !ubutanat



SINDROMUL PARIETAL• LEZIUNILE SCHELETULUI OSOS

+ M%!$)$'a#$ '%s(al"

•Nma# 0'%as(" s*#anm"#a#", $*%@a*la/$$,

abs"n(a '%n&"n$(ala@ !%ban!$(a

• D$m"ns$n$0

m%!$)$'a#$ &"n"#al$/a("@ l%'al$/a("

• P%/$($", %#$"n(a#"

+ ($*l '%ns($(($%nal

+ $*"#$n)la($",*l"#"/$", a("l"'(a/$",

)$b#%(%#a

+ m%!$)$'a#$ !" a al" CV

• C%n(#

+ '%a#'(a($" A%, n"#%)$b#%ma(%/a,

)#a'(#$

• S(#'(#a

%s("%l$($'", %s("%'%n!"nsan(", m$("

''




+ M%!$)$'a#$ '%s(al"

•Nma#0'%as(" s*#anm"#a#", $*%@a*la/$$,

abs"n(a '%n&"n$(ala@ !%ban!$(a

• D$m"ns$n$0

m%!$)$'a#$ &"n"#al$/a("@ l%'al$/a("

• P%/$($", %#$"n(a#"

+ ($*l '%ns($(($%nal

+ $*"#$n)la($",*l"#"/$", a("l"'(a/$",

)$b#%(%#a

+ m%!$)$'a#$ !" a al" CV

• C%n(#

+ '%a#'(a($" A%, n"#%)$b#%ma(%/a,

)#a'(#$

• S(#'(#a

%s("%l$($'", %s("%'%n!"nsan(", m$("



SINDROMUL PARIETAL• LEZIUNILE SCHELETULUI

OSOSM%!$)$'a#$l" '%l%an"$

"#("b#al" + !" a0

s'%l$%/", '$)%/",

s!#. s*a("l$ !#"*( + m%!$)$'a#$ !" )%#ma

- "#%/$n$ )a(a an("#$%a#a'%#*#$ "#("b#al"0

an"#$sm A%

- la#&$#"a &. !" '%n&a#" 0n"#$n%m

+ m%!$)$'a#$ !" s(#'(#a

+ m%!$)$'a#$ al" s*a($$l%# $..0

*"nsa#$, 'al'$)$'a#$, $!

!$s'al




+ M%!$)$'a#$l" s("#nl$-$n)n!a#"



TUMORA OSOASA STERNOCOSTALA

SINDROMUL PARIETAL

T1 '%#%nal T1 sa&$(al

T1 a$alFST6 a$al



SINDROMUL PARIETAL

• LEZIUNILE DIAFRAGMULUI

+ *%/$($" Ss s$(a(b$la("#al n$la("#al+!# sa s(&

- "*$#

- sa#'$na

- as'$(a

- (m%#$ ab!. %lm$n.&%b"/$(a("&"*a(%s*l"n%m"&al$"

- #"!'"#"a

'%m*l$an("$ *lm%na#"

- "*a(%m"&al$"

- s*l"n%m"&al$"

- *a#"/a !" n )#"n$'

- a("l"'(a/$a+LIS sa DR- )$b#%/a *lm%na#a

- *n"m%n"'(%m$"

- *a$*l"#$(a

- s'%l$%/"

%s s$(a( 0 $*"#$n)la($", $ns*$# *#%)n!

'%n(# 0alterare tonu! (ibrei"$ingere trationare

m%b$l$(a("0 redu!a# ab!enta# $arado/ala

#*(#$, "#n$$ !$a)#a&ma($'"



SINDROMUL PARIETAL


+ *%/$($" Ss s$(a(

b$la("#al n$la("#al

- "*$#

- sa#'$na

- as'$(a


- #"!'"#"a


- "*a(%m"&al$"

- s*l"n%m"&al$"

- *a#"/a !" n )#"n$'

- a("l"'(a/$"- )$b#%/a *lm%na#a

- *n"m%n"'(%m$"

- *a$*l"#$(a

- s'%l$%/"

%s s$(a( 0 $*"#$n)la($", $ns*$# *#%)n!

'%n(# 0alterare tonu! (ibrei"$ingere trationare


#*(#$, "#n$$ !$a)#a&ma($'"



SINDROMUL PARIETAL


+ *%/$($" Ss s$(a(

b$la("#al n$la("#al

- "*$#

- sa#'$na

- as'$(a


- #"!'"#"a


- "*a(%m"&al$"

- s*l"n%m"&al$"

- *a#"/a !" n )#"n$'

- a("l"'(a/$"- )$b#%/a *lm%na#a

- *n"m%n"'(%m$"

- *a$*l"#$(a

- s'%l$%/"

%s s$(a( 0 $*"#$n)la($", $ns*$# *#%)n!

'%n(#0alterare tonu! (ibrei"$ingere trationare


#*(#$, "#n$$ !$a)#a&ma($'"



SINDROMUL PARIETAL• LEZIUNILE SCHELETULUI

OSOS + M%!$)$'a#$l" '%l%an"$

"#("b#al"• !" a0

s'%l$%/", '$)%/",

s!#. s*a("l$ !#"*(

• m%!$)$'a#$ !" )%#ma - "#%/$n$ )a(a an("#$%a#a

'%#*#$ "#("b#al"0

an"#$sm A%

- la#&$#"a &. !" '%n&a#" 0n"#$n%m

• m%!$)$'a#$ !" s(#'(#a • m%!$)$'a#$ al" s*a($$l%# $..0

*"nsa#$, 'al'$)$'a#$, $!

!$s'al



A B

A. Sectiune CT care evidentiaza formatiune tumorala pulmonara apicala cu invazie de

perete toracic. B. Imagine RM T1 in plan sagital evidentiaza extensia formatiuni

tumorale in canalul rahidian. C. Sectiune RM in plan coronal evidentiaza invazia ingaurile de conugare ale onctinii cervico!toracale.

SINDROMUL PARIETAL

Ina/$" *"#"(" (%#a'$'

C

SINDROMUL PARIETAL



T1TS" cor. contrast

T1TS" ax. contrast

T1TS" sag. contrast

-Tumoră gigantă toracică superioară dreaptă, cu punct de plecare în gaura de

conjugare T7-T8, cu captare relativ omogenă

SINDROMUL PARIETALTn%#a *a#$"(ala ' "("ns$"

$n(#a(%#a'$'a



D$a)#a&ml

• )e"brana "u!ulotendinoa!a are

!e$ara ele 0 avitati% toraia !i

abdo"inala

• Dia(rag"ul e!te a(etat atat in a(etiunile

organelor toraie at !i in ele ale

avitatii abdo"inale u are vine in

ontat.



1ERNIILE 1IATUSULUI ESOFA*IAN

Cla!i(iarea anato"ia%

& 'erniile u e!o(ag !urt ongenital ,A2erlund 3-

& 'erniile $arae!o(agiene ,A2erlund 0-

& 'ernia $rin aluneare ,A2erlund 4-

E/ radiologi% "a!a ovoida $araardiaa o$aa!au 'i$ertran!$arenta !i u bula de gaz a

!to"aului ab!enta



1ERNIILE 1IATUSULUI ESOFA*IAN



SINDRO)UL C1ILAIDITI

• !e "ani(e!ta $rin inter$ozitia

olonului tran!ver! intre dia(rag"

!i (iat# !e $rezinta !ub (or"a unei

'i$ertran!$arente

!ubdia(rag"atia dre$ta# u ontur

bo!elat !i !triuri 'au!trale

arateri!tie.

Di ti l di( ti l l i d l i i t l



Diagno!tiul di(erential al !indro"ului $arietal

• Originea $arietala a unei leziuni $oate (i a(ir"ata daa e/i!ta otu"e(atie ae!ibila e/a"enului lini !au daa e/i!ta o leziuneo!oa!a evidenta radiologi.

• A$artenenta la $eretele torai a unei leziuni $oate (i $re!u$u! in$rezenta unei "a!e de $arti "oi e !e e/tinde intratorai o"$arabila u o$aitatea de origine $aren'i"atoa!a !au$leurala.

Para"etri R/. Perete

torai

Pleura Pul"on

Contur Net Net I"$rei!

Raord la $erete In $anta lina In $anta lina In ung'i a!utit

5ron'ogra"aaeria

Ab!enta Ab!enta Prezenta

E$an!a"ent$leural

Ab!ent Prezent Ab!ent

Leziuni o!oa!e Prezente Ab!ente Ab!ente

Curs 4 Sindroamul Parietal.ppt

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