"9"^^ . "Problematika v\u010Dasn\u00E9 diagnostiky operovan\u00FDch p\u00E1te\u0159n\u00EDch metast\u00E1z" . "M\u00E1lek, V\u00E1clav" . . "CZ - \u010Cesk\u00E1 republika" . "Ry\u0161ka, Pavel" . "Problems of early diagnosis of operated spinal metastastis"@en . "2" . . "9"^^ . "Limitac\u00ED \u00FAsp\u011B\u0161n\u00E9 l\u00E9\u010Dby metastick\u00E9ho onemocn\u011Bn\u00ED p\u00E1te\u0159e z\u016Fst\u00E1v\u00E1 opo\u017Ed\u011Bn\u00E9 stanoven\u00ED spr\u00E1vn\u00E9 diagn\u00F3zy, a t\u00EDm pozdn\u00ED zah\u00E1jen\u00ED adekv\u00E1tn\u00ED l\u00E9\u010Dby. Nejd\u016Fle\u017Eit\u011Bj\u0161\u00ED prognostick\u00FD faktor p\u0159i metastatick\u00E9m posti\u017Een\u00ED p\u00E1te\u0159e je schopnost ch\u016Fze nemocn\u00E9ho na za\u010D\u00E1tku l\u00E9\u010Dby. Je t\u0159eba zv\u00FD\u0161it p\u0159ipravenost l\u00E9ka\u0159\u016F a ji\u017E p\u0159i podez\u0159en\u00ED na metastick\u00E9 onemocn\u011Bn\u00ED p\u00E1te\u0159e urychlit vyu\u017Eit\u00ED diagnostick\u00FDch postup\u016F ke stanoven\u00ED diagn\u00F3zy. Jen tak lze dos\u00E1hnout uspokojiv\u00FDch v\u00FDsledk\u016F a p\u0159edej\u00EDt tak vzniku nevratn\u00FDch neurologick\u00FDch zm\u011Bn. P\u0159i t\u011B\u017Ek\u00E9m p\u0159edopera\u010Dn\u00EDm neurologick\u00E9m deficitu se ani chirurgick\u00FDm uvoln\u011Bn\u00EDm m\u00EDchy \u010Dasto nepoda\u0159\u00ED podstatn\u011B zlep\u0161it poruchu hybnosti kon\u010Detin."@cs . "\u0158eh\u00E1k, Svatopluk" . "RIV/00216208:11150/05:00003510!RIV06-MZ0-11150___" . . "11150" . . . "\u010Ces\u00E1k, Tom\u00E1\u0161" . . "RIV/00216208:11150/05:00003510" . . . "Problematika v\u010Dasn\u00E9 diagnostiky operovan\u00FDch p\u00E1te\u0159n\u00EDch metast\u00E1z"@cs . "Kanta, Martin" . "Odr\u00E1\u017Eka, Karel" . "Limitac\u00ED \u00FAsp\u011B\u0161n\u00E9 l\u00E9\u010Dby metastick\u00E9ho onemocn\u011Bn\u00ED p\u00E1te\u0159e z\u016Fst\u00E1v\u00E1 opo\u017Ed\u011Bn\u00E9 stanoven\u00ED spr\u00E1vn\u00E9 diagn\u00F3zy, a t\u00EDm pozdn\u00ED zah\u00E1jen\u00ED adekv\u00E1tn\u00ED l\u00E9\u010Dby. Nejd\u016Fle\u017Eit\u011Bj\u0161\u00ED prognostick\u00FD faktor p\u0159i metastatick\u00E9m posti\u017Een\u00ED p\u00E1te\u0159e je schopnost ch\u016Fze nemocn\u00E9ho na za\u010D\u00E1tku l\u00E9\u010Dby. Je t\u0159eba zv\u00FD\u0161it p\u0159ipravenost l\u00E9ka\u0159\u016F a ji\u017E p\u0159i podez\u0159en\u00ED na metastick\u00E9 onemocn\u011Bn\u00ED p\u00E1te\u0159e urychlit vyu\u017Eit\u00ED diagnostick\u00FDch postup\u016F ke stanoven\u00ED diagn\u00F3zy. Jen tak lze dos\u00E1hnout uspokojiv\u00FDch v\u00FDsledk\u016F a p\u0159edej\u00EDt tak vzniku nevratn\u00FDch neurologick\u00FDch zm\u011Bn. P\u0159i t\u011B\u017Ek\u00E9m p\u0159edopera\u010Dn\u00EDm neurologick\u00E9m deficitu se ani chirurgick\u00FDm uvoln\u011Bn\u00EDm m\u00EDchy \u010Dasto nepoda\u0159\u00ED podstatn\u011B zlep\u0161it poruchu hybnosti kon\u010Detin." . . . . "[CDAE5C69DD16]" . "N\u00E1hlovsk\u00FD, Ji\u0159\u00ED" . "Kaltofen, Kurt" . . "Problematika v\u010Dasn\u00E9 diagnostiky operovan\u00FDch p\u00E1te\u0159n\u00EDch metast\u00E1z" . "1210-7859" . . . "spinal metastases; spinal compression; late diagnosis"@en . . "Problems of early diagnosis of operated spinal metastastis"@en . . "95;101" . "However, their earlier and successful treatment remains still limited by delayed establishing the correct diagnosis. Ability to walk at the beginning of treatment is the most important prognostic factor in patients with the spine metastatic involment. Awareness of physicians should be levelled-up and the use of diagnostic modalities expedited when in suspicion of metastatic spine affections cases. This is the only way of how to achieve satisfactory results and prevent from the development of any irreversible neurological changes. In cases of a severe preoperative neurological deficit, even the surgical release of spinal cord may often fail to improve substantially the limbs' motility disorder."@en . . . . . . "68/101" . "538835" . . "P(NR7953)" . "Melichar, Bohuslav" . "7"^^ . "\u010Cesk\u00E1 a slovensk\u00E1 neurologie a neurochirurgie" . "Problematika v\u010Dasn\u00E9 diagnostiky operovan\u00FDch p\u00E1te\u0159n\u00EDch metast\u00E1z"@cs . .