Bundovska Kocev, Smiljana
Preferred name
Bundovska Kocev, Smiljana
Official Name
Bundovska Kocev, Smiljana
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47 results
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Item type:Publication, HEPATIC PORTAL VENOUS GAS(Macedonian Association of Anatomists and Morphologists, 2023) ;Stavreski, Nacko ;Klinche, Shener; Hepatic portal venous gas (HPVG), an ominous radiologic sign, in most of the cases is associated with a severe abdominal disease that requires an urgent surgical intervention. In the medical literature, HPVG has been commonly associated with severe or lethal conditions. The diagnosis of HPVG is usually made by plain abdominal radiography, ultrasonography, color Dopler flow imaging or computed tomography (CT) scan. The increased use of CT scan in the inpatient setting allows early and highly sensitive detection and also recognition of an increasing number of benign and non-life threating causes of HPVG. The prognosis is related to the pathology itself and is not influenced by the presence of HPVG. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Massive pleural effusion as a result of hereditary multiple exostoses(Macedonian Association of Anatomists, 2021); Antuleska Becheska, GordanaHereditary multiple exostoses (HME) is a rare, benign autosomal dominant genetic disorder, but in very rare cases they can have malignant transformation. Exostoses can cause pain, pressure on some nerves, blood vessels and damage on surrounding tissues. Chest CT and CT angiography play an indispensable role in the diagnoses and management of exostoses. We report an eleven-year-old boy with massive pleural effusion caused by costal exostoses on the right ninth rib. Costal exostoses represent an unusual cause of pleural effusion. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Colon Screening: Colonoscopy vs Virtual Colonoscopy(2013-03); ; K. NikolovVirtual colonoscopy or appropriately named CT Colonography(CTC) is a new radiologic method of screening the colon for precancerous polyps with an ongoing tendention to supplement the regular endoscopic colonoscopy. We are trying to show how this method with the abbility to reconstruct and render the images can better depict the colon and any suspicious lesion thus avoiding the invasivness of the old method and sedation of the patient. We suggest this method for any patient with: * known familial polyposis * blood in the stool * with known Ulcerative colitis or Crohn's disease. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, TUBEROUS SCLEROSIS COMPLEX- RADIOLOGICAL FEATURES IN DIFFERENT BODY SYSTEMS(Macedonian Association of Anatomists and Morphologists, 2023) ;Apostoloska, Veronika; ; ; Crcevska, SofijaTuberous sclerosis (TS) is a rare genetic disorder of autosomal - dominant inheritance. Tuberous sclerosis complex is characterized by the development of benign tumors affecting different body systems who results in hamartomas involving many organs, like the brain, heart, kidneys, skin, lungs and liver. The management of these patients is often multidisciplinary, involving specialists from various fields. TSC presents at any age as a wide range of clinical and phenotypic manifestations with varying severity. The most common manifestations are facial angiofibroma, seizures, cortical tubers, cardiac rhabdomyoma, renal cysts and tumor of the kidneys. We present four patients with characteristic clinical and radiological features of multilocular tuberous sclerosis. - Some of the metrics are blocked by yourconsent settings
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Item type:Publication, Polyostotic Fibrous Dysplasia in a Six-year-Old Boy(Galenos Yayinevi, 2023-06-20); ;Todorova-Stefanovski, Dushica; ; Fibrous dysplasia (FD) is a rare congenital benign bone disease that manifests as a defect in the bone remodeling process, affecting the function, differentiation, and maturation of osteoblasts. This process is located in the bone marrow, where the normal marrow tissue is replaced with immature bone islands and fibrous stroma. The etiology is unclear so far, but it is known to be connected with a point mutation of the gene that encodes Gs α protein at the time of embryogenesis, and because of that, all of the affected somatic cells become dysplastic. It is important to determine whether the mutation occurred earlier in the process of embryogenesis so that there will be more mutant cells and the disease will appear in a more severe form. The clinical presentation of FD is variable, so there are plenty of potential differential diagnoses. The most common include Paget disease, non-ossifying fibroma, osteofibrous dysplasia, aneurysmal bone cyst, adamantinoma, giant cell tumor, fracture callus, and low-grade central osteosarcoma. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, DILEMMAS IN THE DIAGNOSIS OF DORSALLY SEQUESTERED DISC IN THE THORACIC SPINE AS A RARE CONDITION(SHMSHM / AAMD, 2021) ;Antuleska Becheska, Gordana; Posterior migration of sequestered disc of thoracic spine is an extremely rare case and can mimics spinal lesions like tumor, abcess, disc space infection or another space-occupying lesions. Our case is about 54 years old patient, female, who was admitted to the Neurosurgery Clinic due to severe paraparesis of the lower extremities with preserved sensitivity. MRI was very effective for the diagnosis of this rare pathological condition. Peripheral rim enhancement around the nonenhancing disc fragment is typical appearance on contrast MRI for disc fragment. Using the DWI sequence, we showed that there is no restriction of diffusion, which once again confirmed that it is not about an inflammation, not a tumor lesion. So, MRI as a diagnostic procedure offers opportunities to eliminate dilemmas regarding diagnosis in one fell swoop, which is necessary for the timely resolution of the patient’s condition. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Upper gastrointestinal bleeding from primary aortoesophageal fistula in a patient with aneurism of the thoracoabdominal aorta: Case report and literature review(Wiley, 2024-08); ; ;Andov, Mishel ;Kolev, AleksandarBundovski, KristijanUpper gastrointestinal bleeding due to primary aortoesophageal fistula is a rare clinical condition burdened with high mortality rate. However, the outcomes are closely related to the level of clinical awareness, the complementary and multidisciplinary approach during the diagnostic workup, and the selected treatment option. We present an atypical case of an aneurysm of the thoracoabdominal aorta complicated with primary aortoesophageal fistula (AEF). A 55‐year‐old male with no previous diseases, presented with prolonged and intense back pain and upper gastrointestinal bleeding. The gastroscopy detected an unusual culprit lesion in the distal esophagus resembling an esophageal wall defect, and the computed tomography revealed an aneurysm of the thoracoabdominal aorta, remarkable surrounding hematoma, and active contrast extravasation. Despite the urgent surgical repair, a lethal outcome occurred. AEF patients require high clinical awareness and complementary multidisciplinary approach in order to provide a rapid diagnosis and optimal treatment. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Changes in left ventricular function after coronary artery bypass grafting in patient with left ventricular dysfunction(Medical Faculty, Ss. Cyril and Methodius University in Skopje, 2020); ; ; ; Sokarovski, Marjan - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Clinical Effectiveness of Single Lumbar Periradicular Infiltration in Patients with Sciatica(Walter de Gruyter GmbH, 2023-07-01); ; ;Kostova, Masha ;Ristikj-Stomnaroska, DanielaStoshevska, Tatjana DelevaPeriradicular therapy (PRT) is a minimally invasive radiological procedurein patients with chronic lumbar pain.The aim of the study is to identify clinical and radiological predictive factors for treatment success after a single PRT treatment in patients with sciatica.The study includes a prospective follow-up of 166 patients treated with PRT. The pain intensity is determined according to the VAS scale and the degree of improvement is presented as excellent (over 75%), good (50-70%), moderate (25-49%), and weak (less than 25%). The follow up of the treated patients was done at 2 weeks, 3 and 6 months. In patients with pain duration up to 3 months, the improvement was excellent in n=32 (58.18%) after 2 weeks, after 3 months n=41 (74.55%) and after 6 months n=41 (74.55%). This stands in contrast to patients with pain over 1 year. The percentage of improvement after 6 months, post-intervention, was highest in patients without nerve root compression (86.25±19.2),and the highest improvement after 6 months was in patients with localization of pain at the L4-L5 level (69.69±29.7), the greatest improvement after six months was in patients with extraforaminal hernia (62.82±34.3), and the lowest in patients with central stenosis (40.21±30.7).Our study results suggest that the shorter a pain duration, low-grade root compression, injection level and type of herniation area predictor the more favourable response patients have to transforaminal epidural steroid injection in patients with sciatica.
