Hungarian Radiology

[Intracranial malignant tumour in a child resolving after radiotherapy]

YEBOAH Alex, DZEFI-TETTEY Klenam

MARCH 22, 2008

Hungarian Radiology - 2008;82(01-02)

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Hungarian Radiology

[Dr. Miklós Kéki]

NAGY Gyöngyi

Hungarian Radiology

[Lányi Márton prize, 2007 - The winner: dr. Milics Margit]

GÖBLYÖS Péter

Hungarian Radiology

[Analysis of the status of the Hungarian radiologists in 2007]

KIS Zsuzsanna, LOMBAY Béla

[INTRODUCTION - It can be often heard that the number of practicing radiologists is constantly reducing, and that the specialty is growing “old”. Also, it is believed that the ratio of women to men radiologists is unfavorable. MATERIAL AND METHOD - The authors’ study was based on the data available with the Hungarian Medical Chamber, and was complemented with the data from the observatory network of the specialty. They have established the number of doctors working in the radiological departments in all counties of Hungary, including Budapest, in 2007. They also evaluated the type of workload the doctors faced and the type of replacements in the "pipeline". RESULTS - There were 1151 radiologists on the register in 2007. Out of 1151, 1099 (95,5%) worked here in Hungary and 52 (4,5%) worked overseas. Number of active radiologists in 2007 was 620 (64%). There were 346 (36%) radiologists working after their retirement. Number of radiologists in-training was 133 (12%). Ratio of female to male was 71 vs. 29%. CONCLUSION - On the basis of the data available the ratio of female to male doctors proved really unfavorable. There were few radiologists in-training, besides a large population of radiologists working post-retirement. The radiologists are over-burdened, and the geographical distribution is inappropriate.]

Hungarian Radiology

[Sessions, 2007 year performance and 2008 year plans of the Hungarian College of Radiologists]

PALKÓ András

Hungarian Radiology

[Dr. György Köteles is 80 years old]

HARMAT György

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The cause of intracerebral, subarachnoid and subdural haemorrhage is different, and the simultaneous appearance in the same case is extremely rare. We describe the case of a patient with a ruptured aneurysm on the distal segment of the middle cerebral artery, with a concomitant subdural and intracerebral haemorrhage, and a subsequent secondary brainstem (Duret) haemorrhage. The 59-year-old woman had hypertension and diabetes in her medical history. She experienced anomic aphasia and left-sided headache starting one day before admission. She had no trauma. A few minutes after admission she suddenly became comatose, her breathing became superficial. Non-contrast CT revealed left sided fronto-parietal subdural and subarachnoid and intracerebral haemorrhage, and bleeding was also observed in the right pontine region. The patient had leucocytosis and hyperglycemia but normal hemostasis. After the subdural haemorrhage had been evacuated, the patient was transferred to intensive care unit. Sepsis developed. Echocardiography did not detect endocarditis. Neurological status, vigilance gradually improved. The rehabilitation process was interrupted by epileptic status. Control CT and CT angiography proved an aneurysm in the peripheral part of the left middle cerebral artery, which was later clipped. Histolo­gical examination excluded mycotic etiology of the aneu­rysm and “normal aneurysm wall” was described. The brain stem haemorrhage – Duret bleeding – was presumably caused by a sudden increase in intracranial pressure due to the supratentorial space occupying process and consequential trans-tentorial herniation. This case is a rarity, as the patient not only survived, but lives an active life with some residual symptoms.

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