THE ROLE OF NEURO IMAGING METHODS FOR DETERMINING THE FORMS OF STRUCTURAL PATHOLOGY AND TACTICS FOR TREATING CEREBROVASCULAR ACCIDENTS IN ADULTS AND CHILDREN WITH CORONAVIRUS INFECTION COVID-19
Spiral CT and MR angiography are more reliable methods for detecting the level and degree of occlusion, atherostenosis, and local spasm of the cerebral arteries. CT perfusion, MRI images (T2VI, FLAIR, PWI / DWI mismatch) are acceptable, highly sensitive and specific for assess and clarify the clinical form of ACVA, the volume / size of the focal lesion, the penumbra zone, the evolution of complications arising during conservative treatment and interventional (thrombextraction, removal of hematomas), monitoring the effectiveness of the protocols and technologies used. Diagnosis of thrombosis of intracerebral sinuses and veins is most effectively carried out with CT or MR venography. The use of MRI T2 * GRE, SWAN modes is necessary for the identification of cortical, subcortical and infratentorial microhemorrhages. Their detection rate is especially high in critical encephalopathies. Personalized therapy of patients is carried out taking into account the form of ACVA, its etiology, type and subtype of stroke in accordance with the clinical guidelines of the Ministry of Health of the Russian Federation and the European Stroke Association (ESO).
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