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\par {\pntext\pard\plain\s3 \f14\fs32\cf1 \loch\af14\dbch\af0\hich\f14 \'a8\tab}}\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls4\pnrnot0\pnf14\pnfs32 {\pntxtb \'a8}}\faauto\ls4\outlinelevel2\rin0\lin1560\itap0 {\f1\fs20 Epileptick\'e9 z
\'e1chvaty
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f42\fs20 Z\'e1va\'9enos\'9d kraniocerebr\'e1lnych \'farazov
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f42\fs20\ul \'bcahk\'e9 poranenie}{\f1\fs20 :                }{\b\f1\fs20 mozgov\'e1 kom\'f3cia
\par {\pntext\pard\plain\s3 \f14\fs32\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard\plain \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls6\pnrnot0\pnf14\pnfs32 {\pntxtb n}}\faauto\ls6\outlinelevel2\rin0\lin1560\itap0 
\fs48\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f42\fs20 Charakterizovan\'e9 kr\'e1tkou a prechodnou poruchou vedomia, bez ak\'fdchko\'bevek neskor\'9a\'edch trval\'fdch n\'e1sledkov. \'8da\'9ekosti odoznievaj\'fa po\'e8as 1 \endash 
 3 mesiacov.
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f42\fs20\ul Stredne \'9da\'9ek\'e9 poranenie}{\f1\fs20 :    }{\b\f1\fs20 mozgov\'e1 kont\'fazia 
\par }\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin960\itap0 {\b\f1\fs20                                                       +   hemat\'f3m
\par {\pntext\pard\plain\s3 \f14\fs32\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard\plain \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls6\pnrnot0\pnf14\pnfs32 {\pntxtb n}}\faauto\ls6\outlinelevel2\rin0\lin1560\itap0 
\fs48\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f42\fs20 Charakterizovan\'e9 stratou vedomia trvaj\'facou min\'faty a\'9e hodiny, s n\'e1sledn\'fdm nieko\'bekod\'f2ov\'fdm a\'9e nieko\'beko t\'fd\'9ed\'f2ov\'fdm stavom zm\'e4tenosti. Kognit
\'edvne a psychosoci\'e1lne poruchy trvaj\'fa nieko\'beko mesiacov, upravuj\'fa sa lie\'e8bou.
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f42\fs20\ul \'8da\'9ek\'e9 poranenie}{\f1\fs20 :             }{\b\f1\fs20 kont\'fazia, hemat\'f3m 
\par }\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin960\itap0 {\b\f1\fs20                                         dif\'fazne axon\'e1lne po\'9akodenie
\par {\pntext\pard\plain\s3 \f14\fs32\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard\plain \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls6\pnrnot0\pnf14\pnfs32 {\pntxtb n}}\faauto\ls6\outlinelevel2\rin0\lin1560\itap0 
\fs48\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 Charakterizovan\'e9 prolongovan\'fd}{\f42\fs20 m bezvedom\'edm v trvan\'ed nieko\'beko dn\'ed, t\'fd\'9ed\'f2ov a\'9e mesiacov. Ur\'e8it\'fd stupe\'f2 fyzick\'e9ho a psychick\'e9
ho postihnutia je trval\'fdm n\'e1sledkom.
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 A. Prim\'e1rne kraniocerebr\'e1lne poranenia
\par {\pntext\pard\plain\s2 \f1\fs48\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls1\pnrnot0\pnf1\pnfs48 {\pntxtb \'95}}\faauto\ls1\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\f1\fs20\ul Frakt\'fary lebky a poranenia m\'e4kk\'fdch tkan\'edv}{\f1\fs20 :
\par {\pntext\pard\plain\s3 \f14\fs45\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard\plain \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls7\pnrnot0\pnf14\pnfs45 {\pntxtb n}}\faauto\ls7\outlinelevel2\rin0\lin1560\itap0 
\fs48\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f42\fs20 Pod\'bea l\'ednie lomu - line\'e1rne, trie\'9ativ\'e9, s impresiou, prstencov\'e9, at\'ef.
\par {\pntext\pard\plain\s3 \f14\fs45\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls7\pnrnot0\pnf14\pnfs45 {\pntxtb n}}\faauto\ls7\outlinelevel2\rin0\lin1560\itap0 {\f1\fs20 
Poranenie mozgu v mieste \'farazu \endash  }{\b\f1\fs20\ul\cf18 coup}{\f42\fs20 , a na proti\'beahlom mieste \endash  }{\b\f1\fs20\ul\cf18 contrecoup
\par {\pntext\pard\plain\s3 \f14\fs45\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls7\pnrnot0\pnf14\pnfs45 {\pntxtb n}}\faauto\ls7\outlinelevel2\rin0\lin1560\itap0 {\f1\fs20 Tempor\'e1
lne poranenie \endash  riziko rupt\'fary a. meningica media
\par {\pntext\pard\plain\s3 \f14\fs45\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls7\pnrnot0\pnf14\pnfs45 {\pntxtb n}}\faauto\ls7\outlinelevel2\rin0\lin1560\itap0 {\f1\fs20 Frakt\'fara b\'e1
zy lebky \endash  }{\f1\fs20\cf18 okuliarovit\'fd hemat\'f3m
\par {\pntext\pard\plain\s3 \f14\fs45\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls7\pnrnot0\pnf14\pnfs45 {\pntxtb n}}\faauto\ls7\outlinelevel2\rin0\lin1560\itap0 {\f1\fs20 Dg: nat\'ed
vne rtg lebky a C-chrbtice, CT mozgu
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 A. Prim\'e1rne kraniocerebr\'e1lne poranenia
\par {\pntext\pard\plain\s2 \f1\fs48\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls1\pnrnot0\pnf1\pnfs48 {\pntxtb \'95}}\faauto\ls1\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\f1\fs20\ul Otras mozgu \endash  commotio cerebri}{\f1\fs20 :
\par {\pntext\pard\plain\s3 \f14\fs45\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard\plain \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls7\pnrnot0\pnf14\pnfs45 {\pntxtb n}}\faauto\ls7\outlinelevel2\rin0\lin1560\itap0 
\fs48\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f42\fs20 Reverzibiln\'e1, kr\'e1tkodob\'e1 porucha \'e8innosti CNS, bez jasn\'e9ho morfologick\'e9ho korel\'e1tu, sp\'f4soben\'e1 dysfunkciou ARAS
\par {\pntext\pard\plain\s3 \f14\fs45\cf18 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls7\pnrnot0\pnf14\pnfs45 {\pntxtb n}}\faauto\ls7\outlinelevel2\rin0\lin1560\itap0 {\b\f1\fs20\ul\cf18 
Strata vedomia}{\f1\fs20  cca 5min, }{\b\f1\fs20\ul\cf18 posttraumatick\'e1 retrogr\'e1dna amn\'e9zia}{\f1\fs20  do 1hod
\par {\pntext\pard\plain\s3 \f14\fs45\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls7\pnrnot0\pnf14\pnfs45 {\pntxtb n}}\faauto\ls7\outlinelevel2\rin0\lin1560\itap0 {\f1\fs20 
Nauzea, zvracanie, dif\'fazna polohov\'e1 cefalea, pohybov\'e9 vertigo, poruchy koncentr\'e1cie, n\'e1lad, pam\'e4ti, vegetat\'edvna nerovnov\'e1ha (potenie, prekolapsy, palpit\'e1cie), poruchy sp\'e1nku \endash  prechodn\'e9 
\par {\pntext\pard\plain\s3 \f14\fs45\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls7\pnrnot0\pnf14\pnfs45 {\pntxtb n}}\faauto\ls7\outlinelevel2\rin0\lin1560\itap0 {\f1\fs20 Objekt\'ed
vny neurologick\'fd n\'e1lez je norm\'e1lny (nystagmoidn\'e9 z\'e1\'9aklby)
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 Commotio cerebri (otras mozgu)
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20\ul Dg}{\f1\fs20  :  zalo\'9een\'e1 na anamn\'e9ze a norm\'e1lnom neurologickom n\'e1leze
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Diff.dg}{\f42\fs20 
 :  kardi\'e1lny kolaps, NCMP, emb\'f3lia do p\'be\'fac, intoxik\'e1cia alkoholom
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Pomocn\'e9 vy\'9a}{
\f1\fs20 .:  RTG lebky, C-chrbtice
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Terapia}{\f1\fs20 
 : hospitaliz\'e1cia na chirurg.odd. (traumatol.)  3 \endash  5 dn\'ed
\par }\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin960\itap0 {\f42\fs20                        k\'beud na l\'f4\'9eku
\par                        symptomatick\'e1 farmakologick\'e1 lie\'e8ba
\par }{\f1\fs20                        PN  7 \endash  14 dn\'ed, rekonvalescencia cca 1 mesiac
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Progn\'f3za}{
\f1\fs20  :  dobr\'e1, bez trval\'fdch n\'e1sledkov
\par }\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin960\itap0 {\f1\fs20                        diskutovan\'fd je }{\b\f42\fs20\ul\cf18 postkomo\'e8n\'fd syndr\'f3m}{\f42\fs20 , ktor\'fd m\'f4
\'9ee by\'9d pr\'edtomn\'fd a\'9e v 50 % pr\'edpadov;  v\'e4\'e8\'9ainou ide o drobn\'e9 kont\'fazne lo\'9eisk\'e1 frontotemporobaz\'e1lne}{\f1\fs20\ul 
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 Contusio cerebri  (zhmo\'9edenie mozgu)
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20\ul Etiol\'f3gia}{\f42\fs20  :   transla\'e8n\'e9 + akcelera\'e8n\'e9 mechanizmy
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Lokaliz\'e1cia}{
\f1\fs20  :  b\'e1za front\'e1lnych lalokov, predn\'e9 p\'f3ly tempor. lalokov
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Klinick\'fd obraz}{
\f42\fs20  :  ve\'bemi variabiln\'fd
\par {\pntext\pard\plain\s3 \f14\fs38\cf1 \loch\af14\dbch\af0\hich\f14 \'a8\tab}}\pard\plain \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls8\pnrnot0\pnf14\pnfs38 {\pntxtb \'a8}}\faauto\ls8\outlinelevel2\rin0\lin1560\itap0 
\fs48\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f42\fs20 nemus\'ed by\'9d spojen\'e1 s kom\'f3ciou, tak\'9ee }{\b\f1\fs20\cf18 nem\'e1 inici\'e1lnu}{\f1\fs20  }{\b\f1\fs20\cf18 stratu vedomia}{\f1\fs20  a prejavuje sa len stavom zm\'e4
tenosti
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20\ul Dg a diff.dg}{\f1\fs20  :    anamn\'e9za \'farazu hlavy
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Pomocn\'e9 vy\'9a.}{
\f42\fs20  :  CT \endash  mus\'ed sa opakova\'9d za 24 \endash  48 hod! 
\par }\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin960\itap0 {\f42\fs20                                   RTG lebky, C \endash  chrbtice,  o\'e8n\'e9 pozadie 
\par }{\f1\fs20                                   EEG  do 3 mes.  (epileptick\'fd  fokus)
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Terapia}{\f1\fs20 
 : hospitaliz\'e1cia na chir.(traumat.)JIS, prot}{\f42\fs20 ied\'e9mov\'e1 lie\'e8ba, nootropik\'e1, vitam\'edny, atyp. neuroleptik\'e1, RHB
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Progn\'f3za}{
\f42\fs20  :  nieko\'beko mesiacov perzistuje kognit\'edvne a psychosoci\'e1lne po\'9akodenie, \'faprava takmer ad integrum
\par }\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin960\itap0 {\f1\fs20                                    
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 Dilaceratio cerebri (roztrhnutie)
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20\ul Etiol\'f3gia}{\f1\fs20 : }{\f42\fs20 v\'e4\'e8\'9ainou transla\'e8n\'fd mechanizmus, niekedy kombinovan\'fd s akcelera\'e8n\'fdm; spojen\'e9 s kont\'faziami a hemat\'f3mami
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Klinick\'fd obraz}{
\f1\fs20 : }{\b\f1\fs20\cf18 prolongovan\'e9 bezvedomie}{\f42\fs20  nieko\'beko dn\'ed, t\'fd\'9ed\'f2ov, mesiacov
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Dg a diff.dg}{
\f1\fs20 : kont\'fazia, hemat\'f3my, ed\'e9m mozgu, hypoxia, z\'e1pal
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Pomocn\'e9 vy\'9a.}{
\f1\fs20 : CT
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Terapia}{\f42\fs20 
: hospitaliz\'e1cia na chir.(traumat) JIS, protied\'e9mov\'e1 lie\'e8ba, nootropik\'e1, vitam\'edny, atyp. neuroleptik\'e1, RHB
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Progn\'f3za}{
\f1\fs20 : perzistencia fyzick\'e9ho a psychick\'e9ho deficitu}{\f1\fs20\ul 
\par }\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul 
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 Dif\'fazne axon\'e1lne poranenie
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20\ul Etiol\'f3gia}{\f1\fs20 : vz\'e1jomn\'fd \'84stri\'9en\'fd\'93 pohyb bielej a \'9a}{\f42\fs20 edej hmoty mozgu, sp\'f4soben\'fd akcelera\'e8n\'fdm mechanizmom. 
\par }\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin960\itap0 {\f42\fs20          D\'f4sledkom je natiahnutie a po\'9akodenie ax\'f3nov s n\'e1slednou degener\'e1ciou BH. Makroskopick\'fd vzh
\'bead mozgu m\'f4\'9ee by\'9d norm\'e1lny.
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Klinick\'fd obraz}{
\f1\fs20 : z\'e1kladn\'fdm znakom je }{\b\f1\fs20\ul\cf18 porucha vedomia}{\f1\fs20  a r\'f4zne lo\'9eiskov\'e9}{\f42\fs20  pr\'edznaky. M\'f4\'9ee by\'9d dekortika\'e8n\'e1 alebo decerebra\'e8n\'e1 rigidita. 
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Dg a diff.dg}{
\f42\fs20 : zalo\'9een\'e1 na klin. obraze bezvedomia pri opakovane negat\'edvnom CT mozgu. MR m\'f4\'9ee uk\'e1za\'9d lo\'9eiskov\'e9 zmeny BH.
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Terapia}{\f1\fs20 
: nootropik\'e1 12 gr. i.v. denne, homeost\'e1za.
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Progn\'f3za}{
\f1\fs20 : \'faprava ad integrum nie je mo\'9en\'e1. Pravidlom je fyzick\'fd a psychosoci\'e1lny deficit.}{\f1\fs20\ul 
\par }\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul 
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f42\fs20 O\'9aetrovate\'besk\'fd proces u chor\'e9ho v bezvedom\'ed

\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20\ul Anamn\'e9za}{\f1\fs20 : objektiviz\'e1cia okolnost\'ed bezvedomia
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Fyzik\'e1lne vy\'9a
etrenie}{\f1\fs20 : 
\par {\pntext\pard\plain\s3 \f1\fs38\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls9\pnrnot0\pnf1\pnfs38 {\pntxtb \'95}}\faauto\ls9\outlinelevel2\rin0\lin1560\itap0 
\fs48\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f42\fs20\ul H\'e5bka bezvedomia}{\f42\fs20 : Glasgowsk\'e1 \'9ak\'e1la k\'f3my - \'beahk\'e1 (13-14b.), stredn\'e1 (9-12b.), \'9da\'9ek\'e1 porucha vedomia  (< 9b.)
\par {\pntext\pard\plain\s3 \f1\fs38\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls9\pnrnot0\pnf1\pnfs38 {\pntxtb \'95}}\faauto\ls9\outlinelevel2\rin0\lin1560\itap0 {\f1\fs20\ul D\'fdchanie}{
\f1\fs20 : pravideln\'e9 (eupnoe), periodick\'e9 Cheyne-Stokesovo, strojov\'e9, ataktick\'e9
\par {\pntext\pard\plain\s3 \f1\fs38\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls9\pnrnot0\pnf1\pnfs38 {\pntxtb \'95}}\faauto\ls9\outlinelevel2\rin0\lin1560\itap0 {\f1\fs20\ul Fyziologick\'e9
 funkcie}{\f1\fs20 : TK, TT, P
\par {\pntext\pard\plain\s3 \f1\fs38\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls9\pnrnot0\pnf1\pnfs38 {\pntxtb \'95}}\faauto\ls9\outlinelevel2\rin0\lin1560\itap0 {\f1\fs20\ul Modifikovan\'e9
 neurologick\'e9 vy\'9aetrenie}{\f42\fs20 : poloha, vigilita, spont\'e1nna pohyblivos\'9d, o\'e8i \endash  vie\'e8ka, symetria zren\'edc a fotoreakcia, postavenie o\'e8n\'fdch bulbov a ich pohyby, reflexy \endash  korne\'e1lny, pupilodilata\'e8n\'fd
, n.VII \endash  n. facialis; kon\'e8atiny \endash  svalov\'fd tonus, r\'9ao, Babinski; meninge\'e1lne pr\'edznaky}{\f1\fs20\ul 
\par }\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin960\itap0 \fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20\ul 
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f42\fs20 O\'9aetrovate\'besk\'fd proces u chor\'e9ho v bezvedom\'ed

\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20\ul Bezvedomie}{\f42\fs20 : kvantitat\'edvna porucha vedomia, charakterizovan\'e1 \'e8iasto\'e8nou alebo \'faplnou stratou schopnosti CNS reagova\'9d na vonkaj\'9aie podnety
\par {\pntext\pard\plain\s4 \f1\fs31\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s4\ql \fi-720\li2160\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls10\pnrnot0\pnf1\pnfs31 {\pntxtb \'95}}\faauto\ls10\outlinelevel3\rin0\lin2160\itap0 
\fs40\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f42\fs20 stupe\'f2:  Pln\'e9 vedomie
\par {\pntext\pard\plain\s4 \f1\fs31\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s4\ql \fi-720\li2160\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls10\pnrnot0\pnf1\pnfs31 {\pntxtb \'95}}\faauto\ls10\outlinelevel3\rin0\lin2160\itap0 {\f42\fs20 stupe\'f2
:  Somnolencia I \endash  IV 
\par {\pntext\pard\plain\s4 \f1\fs31\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s4\ql \fi-720\li2160\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls10\pnrnot0\pnf1\pnfs31 {\pntxtb \'95}}\faauto\ls10\outlinelevel3\rin0\lin2160\itap0 {\f42\fs20 stupe\'f2:  Sopor

\par {\pntext\pard\plain\s4 \f1\fs31\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s4\ql \fi-720\li2160\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls10\pnrnot0\pnf1\pnfs31 {\pntxtb \'95}}\faauto\ls10\outlinelevel3\rin0\lin2160\itap0 {\f42\fs20 stupe\'f2:  Semik
\'f3ma
\par {\pntext\pard\plain\s4 \f1\fs31\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s4\ql \fi-720\li2160\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls10\pnrnot0\pnf1\pnfs31 {\pntxtb \'95}}\faauto\ls10\outlinelevel3\rin0\lin2160\itap0 {\f42\fs20 stupe\'f2:  K\'f3ma

\par {\pntext\pard\plain\s4 \f1\fs31\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s4\ql \fi-720\li2160\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls10\pnrnot0\pnf1\pnfs31 {\pntxtb \'95}}\faauto\ls10\outlinelevel3\rin0\lin2160\itap0 {\f42\fs20 stupe\'f2:  Hlbok
\'e1}{\f1\fs20 , areflexn\'e1 k\'f3ma
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20\ul ADL}{\f1\fs20  (}{\f1\fs20\ul aktivity denn\'e9ho \'9eivota}{\f42\fs20 ): stravovanie a pr\'edjem tekut\'edn, sp\'e1nok, vylu\'e8ovanie, pohyblivos\'9d, samostatnos\'9d}{\f1\fs20\ul 

\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f42\fs20 O\'9aetrovate\'besk\'fd proces u chor\'e9ho v bezvedom\'ed

\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20\ul Sestersk\'e9 diagn\'f3zy a postup}{\f1\fs20 :
\par {\pntext\pard\plain\s3 \f1\fs38\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls9\pnrnot0\pnf1\pnfs38 {\pntxtb \'95}}\faauto\ls9\outlinelevel2\rin0\lin1560\itap0 
\fs48\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f42\fs20 Priechodnos\'9d d\'fdchac\'edch ciest zhor\'9aen\'e1 \endash  sat. O2 }{\f1\fs20 {\field{\*\fldinst SYMBOL 179 \\f "Symbol" \\s 10}{\fldrslt\f3\fs20}}}{\f1\fs20  92 %
\par {\pntext\pard\plain\s3 \f1\fs38\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls9\pnrnot0\pnf1\pnfs38 {\pntxtb \'95}}\faauto\ls9\outlinelevel2\rin0\lin1560\itap0 {\f1\fs20 Objem telesn\'fd
ch tekut\'edn zmenen\'fd
\par {\pntext\pard\plain\s3 \f1\fs38\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls9\pnrnot0\pnf1\pnfs38 {\pntxtb \'95}}\faauto\ls9\outlinelevel2\rin0\lin1560\itap0 {\f42\fs20 V\'fd\'9e
iva nedostato\'e8n\'e1 \endash  nasogastrick\'e1 sonda
\par {\pntext\pard\plain\s3 \f1\fs38\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls9\pnrnot0\pnf1\pnfs38 {\pntxtb \'95}}\faauto\ls9\outlinelevel2\rin0\lin1560\itap0 {\f42\fs20 Sebaopatera nedostato
\'e8n\'e1 \endash  \'e8isto, sucho a primerane teplo
\par {\pntext\pard\plain\s3 \f1\fs38\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls9\pnrnot0\pnf1\pnfs38 {\pntxtb \'95}}\faauto\ls9\outlinelevel2\rin0\lin1560\itap0 {\f42\fs20 Imobiliza\'e8n\'fd
 syndr\'f3m 
\par {\pntext\pard\plain\s3 \f1\fs38\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls9\pnrnot0\pnf1\pnfs38 {\pntxtb \'95}}\faauto\ls9\outlinelevel2\rin0\lin1560\itap0 {\f42\fs20 Riziko udusenia 
\endash  vo\'ben\'e9 DC, ods\'e1vanie
\par {\pntext\pard\plain\s3 \f1\fs38\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls9\pnrnot0\pnf1\pnfs38 {\pntxtb \'95}}\faauto\ls9\outlinelevel2\rin0\lin1560\itap0 {\f1\fs20 Riziko prele\'9ean\'ed
n \endash  polohovanie 
\par {\pntext\pard\plain\s3 \f1\fs38\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls9\pnrnot0\pnf1\pnfs38 {\pntxtb \'95}}\faauto\ls9\outlinelevel2\rin0\lin1560\itap0 {\f1\fs20 
Poruchy sfinkterov (retencia, inkontinencia, obstip\'e1cia)
\par {\pntext\pard\plain\s3 \f1\fs38\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls9\pnrnot0\pnf1\pnfs38 {\pntxtb \'95}}\faauto\ls9\outlinelevel2\rin0\lin1560\itap0 {\f42\fs20 Riziko infekcie 
\endash  hygiena D\'da, starostlivos\'9d o PK, sledovanie VK
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 B. Sekund\'e1rne kraniocerebr\'e1lne traumy
\par }\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin960\itap0 \fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20       }{\b\f1\fs20\ul Vn\'fatrolebkov\'e9 hemat\'f3my
}{\f1\fs20 :  
\par {\pntext\pard\plain\s3 \f1\fs32\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls11\pnrnot0\pnf1\pnfs32 {\pntxtb \'95}}\faauto\ls11\outlinelevel2\rin0\lin1560\itap0 
\fs48\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20\ul Extracerebr\'e1lne}{\f1\fs20  \endash  epidur\'e1lny hemat\'f3m, subdur\'e1lny hemat\'f3m, traumatick\'e9 subarachnoid\'e1lne krv\'e1canie
\par {\pntext\pard\plain\s3 \f1\fs32\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls11\pnrnot0\pnf1\pnfs32 {\pntxtb \'95}}\faauto\ls11\outlinelevel2\rin0\lin1560\itap0 {\f1\fs20\ul Intracerebr\'e1
lne krv\'e1canie
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 Epidur\'e1lny hemat\'f3m
\par {\pntext\pard\plain\s2 \f1\fs30\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls12\pnrnot0\pnf1\pnfs30 {\pntxtb \'95}}\faauto\ls12\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 Krvn\'e1 kolekcia }{\f1\fs20\ul\cf18 medzi }{\b\f1\fs20\ul\cf18 dura mater a kalvou}{\f42\fs20  ako d\'f4sledok traumy, naj\'e8astej\'9aie vznik\'e1 kol\'edznym mechanizmom.  
\par {\pntext\pard\plain\s2 \f1\fs36\cf18 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\cf18 Zdroj krv\'e1
cania  supratentori\'e1lne je }{\b\i\f1\fs20\cf18 arteri\'e1lny}{\f42\fs20\cf18 ; v 50 % sa jedn\'e1 o a. meningica media.  Infratentori\'e1lne je pr\'ed\'e8inou rupt\'fara ven\'f3znych splavov.
\par {\pntext\pard\plain\s2 \f1\fs30\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls12\pnrnot0\pnf1\pnfs30 {\pntxtb \'95}}\faauto\ls12\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Klinick\'e9 pr\'ed
znaky}{\f42\fs20 : dominuje porucha vedomia. Luc\'eddny interval b\'fdva len v 1/3 pr\'edpadov; ak je pr\'edtomn\'fd, trv\'e1 krat\'9aie ako 6hod. Lokaliza\'e8n\'fdm pr\'edznakom je anizok\'f3ria s homolater\'e1lnou mydri\'e1zou. Kontralater\'e1lne b\'fd
va hemipar\'e9za alebo jacksonsk\'e9 epileptick\'e9 paroxyzmy. Nepriazniv\'fd v\'fdvoj kon\'e8\'ed let\'e1lne za pr\'edznakov kraniokaud\'e1lneho zlyh\'e1vania.
\par {\pntext\pard\plain\s2 \f1\fs30\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls12\pnrnot0\pnf1\pnfs30 {\pntxtb \'95}}\faauto\ls12\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Dg a diff.dg}{
\f42\fs20 : CT \endash  bikonvexn\'fd \'fatvar s expanz\'edvnym spr\'e1van\'edm, \'e8a}{\f1\fs20 sto zdru\'9een\'fd s line\'e1rnou frakt\'farou kalvy
\par {\pntext\pard\plain\s2 \f1\fs30\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls12\pnrnot0\pnf1\pnfs30 {\pntxtb \'95}}\faauto\ls12\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Terapia}{\f1\fs20 
: NCH \endash  odstr\'e1nenie hemat\'f3mu a ligat\'fara a. meningica media
\par {\pntext\pard\plain\s2 \f1\fs30\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls12\pnrnot0\pnf1\pnfs30 {\pntxtb \'95}}\faauto\ls12\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Progn\'f3za}{
\f42\fs20 : pri v\'e8asnej dg a th je dobr\'e1. Inak je let\'e1lny koniec.}{\f1\fs20\ul 
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 Epidur\'e1lny hemat\'f3m
\par Subdur\'e1lny hemat\'f3m
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 Krvn\'e1 kolekcia }{\f1\fs20\ul\cf18 medzi dura mater a arachnoideou}{\f1\fs20 . Vznik\'e1 obvykle rupt\'farou }{\f42\fs20\cf18 premos\'9duj\'facich }{\b\i\f1\fs20\cf18 v\'e9n}{
\f1\fs20 , ktor\'e9 ved\'fa z povrchu mozgu do dur\'e1lnych s\'ednusov. 
\par }\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin960\itap0 {\f42\fs20          V\'e4\'e8\'9ainou je spojen\'fd s mozgovou kont\'faziou.
\par        Pod\'bea vzniku:  1.  }{\f1\fs20\ul Ak\'fatne a subak\'fatne
\par }{\f1\fs20 \tab                         2.  }{\f1\fs20\ul Chronick\'e9
\par }{\f42\fs20        Pod\'bea hr\'fabky:  1. Tenk\'e9, pl\'e1\'9a\'9dov\'e9  
\par }{\f1\fs20                                2.  Hrub\'9aie, lok\'e1lne    
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Klinick\'fd obraz}{
\f1\fs20 :
\par {\pntext\pard\plain\s3 \f14\fs32\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard\plain \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls6\pnrnot0\pnf14\pnfs32 {\pntxtb n}}\faauto\ls6\outlinelevel2\rin0\lin1560\itap0 
\fs48\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20\ul Ak\'fatny hemat\'f3m}{\f1\fs20  \endash  priebeh je podobn\'fd epidur\'e1lnemu 
\par }\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel2\rin0\lin1560\itap0 {\f1\fs20         hemat\'f3mu; luc\'eddny interval b\'fdva dlh\'9a\'ed (4 \endash  12 hod)
\par {\pntext\pard\plain\s3 \f14\fs32\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls6\pnrnot0\pnf14\pnfs32 {\pntxtb n}}\faauto\ls6\outlinelevel2\rin0\lin1560\itap0 {\f1\fs20\ul Subak\'fatny hemat
\'f3m}{\f42\fs20  \endash  prejav\'ed sa za nieko\'beko dn\'ed, v priemere za 
\par }\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel2\rin0\lin1560\itap0 {\f1\fs20        2-3 t\'fd\'9edne; klinicky b\'fdva hemipar\'e9za alebo parapar\'e9za, porucha vedomia nastupuje pomal\'9a
ie a len pomaly sa prehlbuje}{\f1\fs20\ul 
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20\ul Dg a diff.dg}{\f1\fs20 :    CT
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Terapia}{\f42\fs20 
: pod\'bea hr\'fabky a expanz\'edvneho chovania \endash  NCH
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 Subdur\'e1lny hemat\'f3m
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20\ul Chronick\'fd subdur\'e1lny hemat\'f3m}{\f1\fs20   (subdur\'e1lny hygr\'f3m):
\par }\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin960\itap0 {\f1\fs20      Vznik\'e1 }{\b\i\f1\fs20 kolikv\'e1ciou }{\f1\fs20 krvn\'e9ho hemat\'f3mu }{\f1\fs20\ul\cf18 medzi dura mater a}{
\f1\fs20  }{\f1\fs20\ul\cf18 arachnoideou}{\f1\fs20 ; 
\par        p\'fazdro funguje ako semipermeabiln\'e1 membr\'e1na, ktor\'e1 osmotick\'fdm mechanizmom zvy\'9auje objem hemat\'f3mu. Okrem toho doch\'e1dza k opakovan\'fdm krv\'e1caniam z proliferuj\'facich kapil\'e1r membr\'e1ny.
\par }\pard\plain \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel2\rin0\lin1560\itap0 \fs48\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20\ul Etiol\'f3gia}{\f42\fs20 : vyvol\'e1vaj\'fa
cim faktorom je mal\'e1 trauma, ktor\'e1 sa \'e8asto zabudne.
\par }{\f1\fs20 Predisponuj\'facimi faktormi s\'fa: star\'9a\'ed vek, ethylizmus, koagulopatie,
\par }{\f42\fs20 epilepsia, antikoagula\'e8n\'e1 lie\'e8ba, arter. hypert}{\f1\fs20 enzia.
\par }{\f1\fs20\ul Klinick\'fd obraz}{\f1\fs20 : interval od \'farazu b\'fdva 3 mes. a\'9e  3 roky. 
\par Z\'e1kladn\'fdmi pr\'edznakmi s\'fa: zmeny osobnosti a intelektu\'e1lny deficit, bolesti
\par }{\f42\fs20 hlavy so zvracan\'edm a mestnavou papilou na o\'e8nom pozad\'ed, 
\par }{\f1\fs20 a\'9e kvantitat\'edvne poruchy vedomia s hemipar\'e9zou. 
\par }{\f1\fs20\ul Dg a diff.dg}{\f1\fs20 :  CT
\par (demencia, mozgov\'fd n\'e1dor, normotenzn\'fd hydrocefalus)
\par }{\f1\fs20\ul Terapia}{\f42\fs20 :  NCH, niekedy protied\'e9mov\'e1 lie\'e8ba
\par }{\f1\fs20\ul Progn\'f3za}{\f42\fs20 :  v\'e4\'e8\'9ainou priazniv\'e1 (80 \endash  90 %)}{\f1\fs20\ul 
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 Subarachnoid\'e1lne krv\'e1canie
\par }\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin960\itap0 \fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 \tab Krv je lokalizovan\'e1 pod arachnoideou }{
\f1\fs20\ul\cf18 v subarachnoid\'e1lnom}{\f1\fs20  }{\f1\fs20\ul\cf18 priestore}{\f1\fs20 , prakticky pri v\'9aetk\'fdch mozgov\'fdch poraneniach, najm\'e4 pri kont\'fazi\'e1ch. 
\par }{\f42\fs20 \tab Podie\'bea sa na meninge\'e1lnom syndr\'f3me a niekedy na vzniku vazospazmov.
\par }{\f1\fs20 \tab }{\f1\fs20\ul Dg a diff.dg}{\f1\fs20 :  CT,  pr\'edp. TCD
\par \tab }{\f1\fs20\ul Terapia}{\f1\fs20 :  prevencia vazospazmov \endash  nimodipin
\par \tab }{\f1\fs20\ul Progn\'f3za}{\f42\fs20 :  v\'e4\'e8\'9ainou dobr\'e1}{\f1\fs20\ul 
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 Intracerebr\'e1lne krv\'e1canie - hemat\'f3m
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20\ul Ak\'fatny traumatick\'fd hemat\'f3m}{\f1\fs20  \endash  vznik\'e1 v momente \'farazu
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Oneskoren\'fd hemat
\'f3m}{\f42\fs20  \endash  \'e8astej\'9a\'ed, objavuje sa s odstupom 6hod a\'9e  nieko\'beko t\'fd\'9ed\'f2ov; naj\'e8astej\'9aie sa vyv\'edja po\'e8as 48hod
\par }\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin960\itap0 {\f1\fs20 Jedn\'e1 sa o lo\'9eiskov\'e9 kolekcie krvi s expanz\'edvnym chovan\'edm ako d\'f4sledok penetruj\'fa
ceho alebo nepenetruj\'faceho poranenia.  \tab }{\f1\fs20\ul 
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 Mozgov\'fd ed\'e9m
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20\ul Generalizovan\'fd}{\f42\fs20  \endash  vznik\'e1 oby\'e8ajne v d\'f4sledku mozgovej hypoxie
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Lo\'9eiskov\'fd}{
\f1\fs20  \endash  okolo kont\'faznych lo\'9e\'edsk a intracerebr\'e1lnych hemat\'f3mov
\par }\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Klinick\'fd obraz}{\f1\fs20 : syndr\'f3m ICH alebo n\'e1rast lo\'9eiskov\'fdch pr\'edznakov, konusov\'fd syndr\'f3
m, l\'e9zie mozgov\'fdch nn.  
\par }{\f1\fs20\ul Dg}{\f1\fs20 : CT \endash  pri diff. ed\'e9me sa zmen\'9auje likvorov\'fd priestor a stiera sa hranica medzi \'9aedou a bielou hmotou
\par }{\f42\fs20        o\'e8n\'e9 pozadie
\par }{\f1\fs20        priame monitorovanie ICP
\par }{\f1\fs20\ul Terapia}{\f1\fs20 : protied\'e9mov\'e1 \endash  Mannitol, Dexamethason
\par               NCH dekompresia\tab }{\f1\fs20\ul 
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f42\fs20 \'cfa\'be\'9aie posttraumatick\'e9 komplik\'e1cie
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20\ul Intrakrani\'e1lna infekcia}{\f1\fs20  \endash  pri penetruj\'facich poraneniach alebo frakt\'farach kalvy a tv\'e1re; dg: likvor, CT
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Likvorea}{\f1\fs20  
\endash  posttraumatick\'e1 komunik\'e1cia medzi subarachnoid\'e1lnym a extrakrani\'e1lnym priestorom prostredn\'edctvom fistuly
\par {\pntext\pard\plain\s4 \f14\fs23\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard\plain \s4\ql \fi-720\li2160\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls13\pnrnot0\pnf14\pnfs23 {\pntxtb n}}\faauto\ls13\outlinelevel3\rin0\lin2160\itap0 
\fs40\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 rinorea, otorea 
\par {\pntext\pard\plain\s4 \f14\fs23\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard \s4\ql \fi-720\li2160\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls13\pnrnot0\pnf14\pnfs23 {\pntxtb n}}\faauto\ls13\outlinelevel3\rin0\lin2160\itap0 {\f42\fs20 nebezpe\'e8
enstvo posttraumatickej likvorovej hypotenzie
\par {\pntext\pard\plain\s4 \f14\fs23\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard \s4\ql \fi-720\li2160\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls13\pnrnot0\pnf14\pnfs23 {\pntxtb n}}\faauto\ls13\outlinelevel3\rin0\lin2160\itap0 {\f42\fs20 nebezpe\'e8
enstvo permanentnej intrakrani\'e1lnej infekcie
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20\ul Posttraumatick\'fd hydrocefalus}{\f42\fs20  \endash  nekomunikuj\'faci hyporezorp\'e8n\'fd na podklade obliter\'e1cie suba}{\f1\fs20 rachnoid\'e1
lnych priestorov konvexity alebo suprasel\'e1rnych cister - d\'f4sledkom je sy ICH
\par }\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin960\itap0 {\f1\fs20         Dg:  CT                   Th:  NCH \endash  ventrikuloperitone\'e1lny shunt
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Posttraumatick\'e1
 epilepsia}{\f1\fs20 , }{\f1\fs20\ul encefalopatia}{\f1\fs20 , }{\f1\fs20\ul parkinsonsk\'fd syndr\'f3m}{\f1\fs20 
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul 
Priame poranenia mozgov\'fdch nervov}{\f1\fs20  \endash  n.I, n.II, n.VII
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul Posttraumatick\'fd
 pneumocefalus}{\f1\fs20  \endash  vzduch v likvorov\'fdch priestoroch pri priamej komunik\'e1cii intra- a extrakrani\'e1lnej (frakt\'fary)
\par }\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin960\itap0 {\f1\fs20         Dg: CT
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 Poranenia chrbtice a miechy
\par {\pntext\pard\plain\s2 \f1\fs42\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls14\pnrnot0\pnf1\pnfs42 {\pntxtb \'95}}\faauto\ls14\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20\ul Historicky:}{\f42\fs20   \'84ochorenie, ktor\'e9 sa ned\'e1 lie\'e8i\'9d\'93
\par {\pntext\pard\plain\s2 \f1\fs42\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls14\pnrnot0\pnf1\pnfs42 {\pntxtb \'95}}\faauto\ls14\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul 1944}{\f1\fs20 :  
\'84Spinal injury center\'93 \endash  Anglia, USA
\par {\pntext\pard\plain\s2 \f1\fs42\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls14\pnrnot0\pnf1\pnfs42 {\pntxtb \'95}}\faauto\ls14\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul 
Frankel a spol., 1969}{\f42\fs20 : (A) kompletn\'e9, (B) len senzorick\'e9 po\'9akodenie, (C) neu\'9eito\'e8n\'e9 motorick\'e9 ff., (D) u\'9eito\'e8n\'e9 motorick\'e9 ff., (E) norm\'e1lna funkcia
\par {\pntext\pard\plain\s2 \f1\fs42\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls14\pnrnot0\pnf1\pnfs42 {\pntxtb \'95}}\faauto\ls14\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul MRC, Lond\'fdn}{
\f1\fs20 : spin\'e1lna segment\'e1lna lokaliz\'e1cia + motorick\'e1 \'9ak\'e1la: 0 \endash  5
\par {\pntext\pard\plain\s2 \f1\fs42\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls14\pnrnot0\pnf1\pnfs42 {\pntxtb \'95}}\faauto\ls14\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul ASIA, 1992}{
\f1\fs20 : inkompletn\'e1 v. kompletn\'e1 spin\'e1lna l\'e9zia
\par {\pntext\pard\plain\s2 \f1\fs42\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls14\pnrnot0\pnf1\pnfs42 {\pntxtb \'95}}\faauto\ls14\outlinelevel1\rin0\lin960\itap0 {\f1\fs20 Sy centr\'e1
lnej miechy, Brown \endash  Sequardov sy, Sy prednej miechy, Sy kaudy equiny
\par {\pntext\pard\plain\s2 \f1\fs42\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls14\pnrnot0\pnf1\pnfs42 {\pntxtb \'95}}\faauto\ls14\outlinelevel1\rin0\lin960\itap0 {\f1\fs20 Strata funkcie br\'e1
nice \endash  l\'e9zia nad C4
\par }\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul 
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 Po\'9akodenie miechy pri ASI
\par {\pntext\pard\plain\s2 \f14\fs36\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard\plain \s2\ql \fi-540\li540\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls3\pnrnot0\pnf14\pnfs36 {\pntxtb n}}\faauto\ls3\outlinelevel1\rin0\lin540\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 priamy fyzik\'e1lny mechanizmus
\par {\pntext\pard\plain\s2 \f14\fs36\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard \s2\ql \fi-540\li540\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls3\pnrnot0\pnf14\pnfs36 {\pntxtb n}}\faauto\ls3\outlinelevel1\rin0\lin540\itap0 {\f1\fs20 cievne poranenie 
\endash  a.spinalis ant.,post.
\par {\pntext\pard\plain\s2 \f14\fs36\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard \s2\ql \fi-540\li540\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls3\pnrnot0\pnf14\pnfs36 {\pntxtb n}}\faauto\ls3\outlinelevel1\rin0\lin540\itap0 {\f1\fs20 intramedul\'e1
rne hemoragie
\par {\pntext\pard\plain\s2 \f14\fs36\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard \s2\ql \fi-540\li540\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls3\pnrnot0\pnf14\pnfs36 {\pntxtb n}}\faauto\ls3\outlinelevel1\rin0\lin540\itap0 {\f1\fs20 ed\'e9m miechy 
\par {\pntext\pard\plain\s2 \f14\fs36\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard \s2\ql \fi-540\li540\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls3\pnrnot0\pnf14\pnfs36 {\pntxtb n}}\faauto\ls3\outlinelevel1\rin0\lin540\itap0 {\f1\fs20 axon\'e1lne po\'9a
kodenie
\par {\pntext\pard\plain\s2 \f14\fs36\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard \s2\ql \fi-540\li540\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls3\pnrnot0\pnf14\pnfs36 {\pntxtb n}}\faauto\ls3\outlinelevel1\rin0\lin540\itap0 {\f1\fs20 n\'e1sledky \endash 
 prechodn\'e9  (miechov\'e1 kont\'fazia)
\par }\pard \s2\ql \fi-540\li540\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin540\itap0 {\f1\fs20                       miechov\'fd \'9aok - 24 h a viac  (?)
\par                       trval\'e1 motoricko-senzorick\'e1  a 
\par                       vegetat\'edvna porucha 
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 Poranenia chrbtice a miechy
\par {\pntext\pard\plain\s2 \f1\fs30\cf18 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls12\pnrnot0\pnf1\pnfs30 {\pntxtb \'95}}\faauto\ls12\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\f1\fs20\ul\cf18 Kom\'f3cia miechy}{\f42\fs20 : reverzibiln\'fd proces, upravuje sa do 24hod; po\'e8iato\'e8n\'e9 \'9at\'e1dium je zhodn\'e9 s obrazom transverz\'e1lnej l\'e9
zie miechy, spolu s miechov\'fdm \'9aokom (klinicky je pr\'edtomn\'e1 tzv. pseudochab\'e1 kvadrupar}{\f1\fs20 \'e9za a\'9e kvadrupl\'e9gia alebo parapar\'e9za a\'9e parapl\'e9gia; hypoteticky sa jedn\'e1 o reverzibiln\'fa axon\'e1lnu disrupciu.
\par {\pntext\pard\plain\s2 \f1\fs30\cf18 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls12\pnrnot0\pnf1\pnfs30 {\pntxtb \'95}}\faauto\ls12\outlinelevel1\rin0\lin960\itap0 {\b\f1\fs20\ul\cf18 Kont\'fa
zia miechy}{\f42\fs20 : priame po\'9akodenie alebo sekund\'e1rne krv\'e1can\'edm; po\'9akodenie sp\'f4sobuje dislokovan\'e1 frakt\'fara, platni\'e8ka, sublux\'e1cia, bodn\'e9, streln\'e9 alebo se\'e8n\'e9 poranenie; naj\'e8astej\'9aie v \'fa
rovni C5, Th4, Th10 a Th11; pozdn\'fdm n\'e1sledkom m\'f4\'9ee by\'9d myelomal\'e1cia alebo syringomyelia.
\par {\pntext\pard\plain\s2 \f1\fs30\cf18 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls12\pnrnot0\pnf1\pnfs30 {\pntxtb \'95}}\faauto\ls12\outlinelevel1\rin0\lin960\itap0 {\b\f1\fs20\ul\cf18 Miechov\'e1
 kompresia}{\f42\fs20 : pr\'ed\'e8inou b\'fdva dislokovan\'fd disk, kostn\'fd \'falomok, alebo spin\'e1lny epidur\'e1lny hemat\'f3m; vznik\'e1 po malom \'faraze alebo pri lie\'e8be antikoagulanciami; za\'e8\'edna prudkou boles\'9d
ou, progreduje do obrazu transverz\'e1lnej l\'e9zie miechy.
\par {\pntext\pard\plain\s2 \f1\fs30\cf18 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls12\pnrnot0\pnf1\pnfs30 {\pntxtb \'95}}\faauto\ls12\outlinelevel1\rin0\lin960\itap0 {\b\f1\fs20\ul\cf18 
Hematomyelia}{\f42\fs20 : krv\'e1canie do centr\'e1lnych \'e8ast\'ed miechy; n\'e1sledky po\'e8as nieko\'bek\'fdch dn\'ed prib\'fadaj\'fa a s\'fa nezvratn\'e9.}{\f1\fs20\ul 
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 Poranenia chrbtice a miechy
\par Poranenia chrbtice a miechy
\par {\pntext\pard\plain\s2 \f14\fs36\cf1 \loch\af14\dbch\af0\hich\f14 \'6e\tab}}\pard\plain \s2\ql \fi-540\li540\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls3\pnrnot0\pnf14\pnfs36 {\pntxtb n}}\faauto\ls3\outlinelevel1\rin0\lin540\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 Streln\'e9 poranenie
\par }\pard\plain \s1\ql \fi-540\li540\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin540\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 
\par 
\par }\pard \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 {\f1\fs20 \'darazy perif\'e9rneho nervov\'e9ho syst\'e9mu
\par }\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin960\itap0 \fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f42\fs20    Postihuj\'fa perif\'e9rne nervy od nervov\'fd
ch kore\'f2ov, nervov\'fdch plexov, perif\'e9rnych nervov a\'9e po nervov\'e9 zakon\'e8enia
\par }{\f1\fs20    Seddon, 1943:  }{\f1\fs20\ul 3 stupne po\'9akodenia}{\f1\fs20 
\par {\pntext\pard\plain\s3 \f1\fs29\cf18 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls15\pnrnot0\pnf1\pnfs29 {\pntxtb \'95}}\faauto\ls15\outlinelevel2\rin0\lin1560\itap0 
\fs48\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\f1\fs20\ul\cf18 Neurapraxia}{\b\f1\fs20  }{\f42\fs20 \endash  naj\'beah\'9aia reverzibiln\'e1 porucha, sp\'f4soben\'e1 prechodn\'fdm \'fatlakom; trpia predov\'9aetk\'fdm motorick\'e9 vl\'e1
kna, d\'f4sledkom s\'fa motorick\'e9 poruchy, upravuj\'face sa do 2 t\'fd\'9ed\'f2ov
\par {\pntext\pard\plain\s3 \f1\fs29\cf18 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls15\pnrnot0\pnf1\pnfs29 {\pntxtb \'95}}\faauto\ls15\outlinelevel2\rin0\lin1560\itap0 {\b\f1\fs20\ul\cf18 Axonotm
\'e9za}{\f1\fs20\cf18  }{\f42\fs20 \endash  v d\'f4sledku dlh\'9aie trvaj\'faceho tlaku alebo \'9dahu sa niektor\'e9 ax\'f3ny preru\'9aia; n\'e1vrat funkcie za\'e8\'edna po 3 t\'fd\'9ed\'f2och a postupuje r\'fdchlos\'9dou 1-3mm za de\'f2
\par {\pntext\pard\plain\s3 \f1\fs29\cf18 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls15\pnrnot0\pnf1\pnfs29 {\pntxtb \'95}}\faauto\ls15\outlinelevel2\rin0\lin1560\itap0 {\b\f1\fs20\ul\cf18 Neurotm
\'e9za}{\b\f1\fs20  }{\f42\fs20 \endash  nerv je preru\'9aen\'fd v celom rozsahu; spont\'e1nna \'faprava nie je mo\'9en\'e1, len po chirurgickom z\'e1kroku; \'e8ast\'e9 s\'fa n\'e1sledn\'e9 kauzalgie
\par }\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin960\itap0 \fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20   }{\f1\fs20\ul Klinick\'fd prejav}{\f1\fs20 : chab
\'e1 motorick\'e1 par\'e9za, v\'fdpadky senzitivity, parest\'e9zie a  bolesti, zn\'ed\'9een\'e9 potenie
\par   }{\f1\fs20\ul N\'e1sledky}{\f1\fs20 : neur\'f3mov\'e9 bolesti \endash  lok\'e1lne a vy\'9earuj\'face
\par }{\f42\fs20                    fant\'f3mov\'e9 bolesti \endash  napr. po amput\'e1cii kon\'e8atiny
\par }{\f1\fs20                    kauzalgie \endash  p\'e1liv\'e9, intenz\'edvne bolesti, napr. n\'e1sledky 
\par                                     vojnov\'fdch poranen\'ed n. medianus alebo tibialis
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f42\fs20 Naj\'e8astej\'9aie \'farazy PNS
\par {\pntext\pard\plain\s2 \f1\fs30\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls12\pnrnot0\pnf1\pnfs30 {\pntxtb \'95}}\faauto\ls12\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20\ul \'darazy plexus brachialis}{\f1\fs20 : motocyklisti, snowboard, p\'f4rodn\'e1 par\'e9za
\par {\pntext\pard\plain\s3 \f14\fs29\cf1 \loch\af14\dbch\af0\hich\f14 \'a7\tab}}\pard\plain \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls16\pnrnot0\pnf14\pnfs29 {\pntxtb \'a7}}\faauto\ls16\outlinelevel2\rin0\lin1560\itap0 
\fs48\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f42\fs20 patogeneticky ide o n\'e1hle roztrhnutie plexu pri lux\'e1cii alebo \'9dahu, niekedy 
\par }\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel2\rin0\lin1560\itap0 {\f1\fs20         d\'f4jde a\'9e k vyt}{\f42\fs20 rhnutiu kore\'f2ov z miechy  (avulzia)
\par {\pntext\pard\plain\s3 \f14\fs29\cf1 \loch\af14\dbch\af0\hich\f14 \'a7\tab}}\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls16\pnrnot0\pnf14\pnfs29 {\pntxtb \'a7}}\faauto\ls16\outlinelevel2\rin0\lin1560\itap0 {\f1\fs20 
klinicky sa prejavuje rozdielne: horn\'fd typ, doln\'fd typ, kompletn\'e1 obrna, Hornerov syndr\'f3m
\par {\pntext\pard\plain\s3 \f14\fs29\cf1 \loch\af14\dbch\af0\hich\f14 \'a7\tab}}\pard \s3\ql \fi-840\li1560\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls16\pnrnot0\pnf14\pnfs29 {\pntxtb \'a7}}\faauto\ls16\outlinelevel2\rin0\lin1560\itap0 {\f42\fs20 boles\'9d
 je klinicky nepriazniv\'fd faktor
\par {\pntext\pard\plain\s2 \f1\fs30\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls12\pnrnot0\pnf1\pnfs30 {\pntxtb \'95}}\faauto\ls12\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20\ul N. radialis}{\f42\fs20 :  zlomenina kr\'e8ka ramennej kosti \endash  pr\'edznak labutej \'9aije
\par }\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin960\itap0 {\f1\fs20                             tlakov\'e1 obrna \endash  barlov\'e1 obrna, obrna sobotnej noci 
\par {\pntext\pard\plain\s2 \f1\fs30\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls12\pnrnot0\pnf1\pnfs30 {\pntxtb \'95}}\faauto\ls12\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul N. medianus}{
\f1\fs20 : zlomenina predlaktia, par\'e9za milencov}{\f1\fs20\ul 
\par {\pntext\pard\plain\s2 \f1\fs30\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls12\pnrnot0\pnf1\pnfs30 {\pntxtb \'95}}\faauto\ls12\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul N. ulnaris}{
\f1\fs20 :  ak\'fatne \'farazy -  zlomeniny pa\'9ee a predlaktia
\par }\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin960\itap0 {\f1\fs20                            chronick\'e9 kompresie \endash  \'fa\'9einov\'fd v obl.}{\f42\fs20  lak\'9dov\'e9ho k\'e5
bu,  
\par }{\f1\fs20                                                                v obl. z\'e1p\'e4stia \endash  obrna cyklistov
\par {\pntext\pard\plain\s2 \f1\fs30\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls12\pnrnot0\pnf1\pnfs30 {\pntxtb \'95}}\faauto\ls12\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul N. femoralis}{
\f42\fs20 :  hyperextenzia coxy, opera\'e8n\'e9 poranenia
\par {\pntext\pard\plain\s2 \f1\fs30\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls12\pnrnot0\pnf1\pnfs30 {\pntxtb \'95}}\faauto\ls12\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul N. obturatorius}{
\f1\fs20 :  zlomeniny panvy \endash  obrna adduktorov stehna
\par {\pntext\pard\plain\s2 \f1\fs30\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls12\pnrnot0\pnf1\pnfs30 {\pntxtb \'95}}\faauto\ls12\outlinelevel1\rin0\lin960\itap0 {\f1\fs20\ul N. peronaeus}{
\f1\fs20 :  lux\'e1}{\f42\fs20 cia kolenn\'e9ho k\'e5bu, zlomeniny hlavi\'e8ky fibuly
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f42\fs20 Naj\'e8astej\'9aie \'farazy PNS
\par }\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel1\rin0\lin960\itap0 \fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 Poranenie uln\'e1rneho nervu
\par }\pard\plain \s1\ql \li0\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel0\rin0\lin0\itap0 \fs64\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 \'darazy PNS
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 Diagnostika: anamn\'e9za, klinick\'fd obraz, EMG
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f42\fs20 Denerva\'e8n\'e9
 zmeny:  za 2 \endash  3 t\'fd\'9edne po \'faraze
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f1\fs20 Terapia: 
\par {\pntext\pard\plain\s4 \f14\fs29\cf1 \loch\af14\dbch\af0\hich\f14 \'a7\tab}}\pard\plain \s4\ql \fi-720\li2160\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls16\pnrnot0\pnf14\pnfs29 {\pntxtb \'a7}}\faauto\ls16\outlinelevel3\rin0\lin2160\itap0 
\fs40\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs20 Konzervat\'edvna \endash  prosaposin
\par {\pntext\pard\plain\s4 \f14\fs29\cf1 \loch\af14\dbch\af0\hich\f14 \'a7\tab}}\pard \s4\ql \fi-720\li2160\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls16\pnrnot0\pnf14\pnfs29 {\pntxtb \'a7}}\faauto\ls16\outlinelevel3\rin0\lin2160\itap0 {\f1\fs20 Chirurgick\'e1
    }{\f42\fs20  \endash   ak\'fatna len u \'e8ist\'fdch rezn\'fdch poranen\'ed
\par }\pard \s4\ql \fi-720\li2160\ri0\nowidctlpar{\*\pn \pnlvlcont\ilvl0\ls0\pnrnot0\pndec }\faauto\outlinelevel3\rin0\lin2160\itap0 {\f1\fs20                                   odlo\'9een\'e1 o 21 dn\'ed \endash  do 2 rokov
\par                                   priama sut\'fara je zriedka mo\'9en\'e1
\par                                   nervov\'fd autotransplant\'e1t (n. suralis, n. medianus)
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard\plain \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 
\fs56\cf1\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f42\fs20 Walleri\'e1nska degener\'e1cia  dist\'e1lneho segmentu \endash  kone\'e8n\'fd stav
\par {\pntext\pard\plain\s2 \f1\fs36\cf1 \loch\af1\dbch\af0\hich\f1 \'95\tab}}\pard \s2\ql \fi-960\li960\ri0\nowidctlpar{\*\pn \pnlvlblt\ilvl0\ls5\pnrnot0\pnf1\pnfs36 {\pntxtb \'95}}\faauto\ls5\outlinelevel1\rin0\lin960\itap0 {\f42\fs20 Regener\'e1
cia z proxim. segmentu \endash  3 mm / de\'f2
\par }}