Z Orthop Unfall 2019; 157(05): 558-561
DOI: 10.1055/a-0774-8209
Case Report/Fallbericht
Georg Thieme Verlag KG Stuttgart · New York

PET/CT to Assess Prognosis after a Brain Injury

Artikel in mehreren Sprachen: English | deutsch
Dieter Woischneck
1  Neurochirurgie, Klinikum Landshut gGmbH
Theresia Strasser
2  Anästhesiologie und Intensivmedizin, Klinikum Landshut gGmbH
Barbara Kempf
3  Hämatologie und Onkologie, Klinikum Landshut gGmbH
Bernhard Scher
4  Nuklearmedizin, Klinikum Landshut gGmbH
Wolfgang Häring
5  Ethikkomitee, Klinikum Landshut gGmbH
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05. Februar 2019 (eFirst)


In a comatose patient with acute subdural haematoma, the polytrauma spiral indicated pulmonary metastasising renal carcinoma, which limited therapeutic possibilities. Whole-body positron-emission tomography/computer tomography (PET/CT) was performed with fluorodesoxyglucose. Renal carcinoma with pulmonary, nodal and parotidal metastases was proved. A cerebral metastasis could not be excluded because of perifocal hypermetabolism. There were few therapeutic possibilities. PET/CT is possible and sensible in the unconscious patient to differentiate the results of polytrauma-CT.