Lazareska, Menka

Preferred name

Lazareska, Menka

Official Name

Lazareska, Menka

Main Affiliation

menka.lazareska@medf.ukim.edu.mk

Now showing 1 - 10 of 43

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Tortuosity of the vertebral artery
(Macedonian Association of Anatomists and Morphologists, 2011)
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Aliji, Vjolca
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Gjoreski, Aleksandar
The aim of this study was to analyze the tortuosity of the vertebral artery and to emphasize the clinical importance of tortuosity. The data derived from this study will add important contribution to our anatomical knowledge, but they will also find clinical applications in radiology and surgery. We examined 40 patients with CT angiography and analyzed the tortuosity of the vertebral artery. Of the vessels examined, 22 (55%) followed a relatively straight course from their origin to their entry into the transverse foramen. The other 18 (45%) patients showed some form of tortuosity. Both vertebral arteries showed high incidence of tortuosity. Our study has highlighted the possible role of vertebral artery tortuosity in diagnostic and surgical procedures in order to prevent vertebral artery injury.
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Role of the radiological variables, clinical picture and values of C-reactive protein (CRP) and leukocytes in the brain edema development and eary intrahospital mortality in patients with hemorrhagic cerebrovascular insult
(Macedonian Association of Physiologists and Antropologists, 2020)
Mihajlovska Rendevska, A
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Aleksovski, B
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Aleksovski, V
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Stojanov, D
Introduction: The development of brain edema is one of the key factors that cause early neurological deterioration in patients with hemorrhagic cerebrovascular insult (H-CVI). In this study we analyzed the impact of: radiological variables (initial volume and volume of the 5th day of the intracerebral hematoma (IH), clinical state at admission (scored on appropriate scale), as well as nonspecific inflammatory markers (leukocyte count and C-reactive protein - CRP). on the development of brain edema and early in-hospital mortality, in patients with H-CVI. Material and methods: 26 conservatively treated patients with acute spontaneous intracerebral haemorrhage treated at the University Clinics of Neurosurgery and Neurology in Skopje. Computed tomography (CT) was used to evaluate radiological variables, the Canadian Stroke Scale (CSS) for neurological status scoring, as well as biochemical analysis of blood taken in the first 24 hours, to measure leukocyte counts and CRP level. Results: 8 of 26 patients (30.8%) were with lethal outcome. Initial volume of IH had the strongest effect on the development of perifocal edema, with less impact but statistically significant were: clinical status on admission and age of the patients. The strongest effect on early in-hospital mortality had all radiological variables (hematoma volume at admission and after 5 days, as well as volume of perifocal edema measured after 5 days).
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Variation in level of entry of the vertebral artery into the transverse foramen
(Macedonian Association of Anatomists and Morphologists, 2011)
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Aliji, Vjolca
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The aim of this study was to analyze the variable level of entrance into the transverse foramen and to point the risks of injury of the vertebral artery during accomplishing surgical procedures. For that purpose we examined 40 patients with CT angiography and analyzed the level of entrance into the transverse foramen. The vertebral artery entered the C6 transverse foramen in 38 (95%) patients. Abnormal level of vertebral artery entrance was observed in two (5%) patients, with entrance into the C4 and C5 transverse foramen. The incidence of abnormal level of entrance into the transverse foramen is relatively high, and this potentially dangerous condition should be detected on preoperative imaging in order to avoid vertebral artery injury.
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Assessment of late gadolinium enhancement in cardiac MRI
(Macedonian Association of Anatomists, 2021)
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Aliji, Vjolca
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Ilievski, Mitko
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Stojkoski, Aleksandar
The aim of this study was to evaluate MRI characte ristic s of ischemic and non - is chemic cardiomyopathies with late dadolinium enhancement analysis that can provide differentiation between these two cardiomyopathies. Eligible 96 patients, age range from 26 to 71 years, who showed different and overlapping c linical symptoms, ECG andtransthoracic echocardiography findings that needed further evaluation were included in our study for further evaluation with cardiac MRI. Of the evaluated patients, 47 were females and 49 were males. The examinations were performe d with MRI Scanner 1,5T Siemens Avanto by using 3 channeledSiemens ECG electrodes with retrospective triggering. With the help of PSIR sequence for late gadolinium enhancement evaluation we differentiated ischemic cardiomyopathy from non - ischemic cardiomyo pathy, which is crucial for management of patients with cardiac dysfunction. Of the examined 96 patients, 42 patients were diagnosed with ischemic cardiomyopathy, 51 with non - ischemic cardiomyopathy, and 3 patients had non - conclusive diagnosis. It was foun d that late gadolinium images in the setting of cardiac MRI were capable of detecting myocardial scars and fibrosis. Moreover, they helped in differentiation between ischemic and non - ischemic cardiomyopathieson the basis of myocardial scar enhancement patt ern.
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Endovascular treatment of intracranial aneurysm on anterior circulation
(Macedonian Association of Anatomists and Morphologists, 2018)
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Aliji, Vjolca
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Businovska, Jasna
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Intracranial aneurysms are abnormal dilations of the intracranial vessels at the weak spot of arterial wall. Rupture of intracranial aneurysm can cause intracerebral hematoma, intraventricular hemorrhage, rarely subdural hematoma. Evaluation of effectiveness of endovascular treatment of intracranial aneurysm as minimal invasive treatment and assessment of result after endovascular treatment for complete occlusion, residual neck or residual aneurysm. The study population included 57 patients referred to the University Clinic of Radiology in Skopje, R. Macedonia for endovascular treatment during the period January 2015 to May 2018. This study included 32 females and 25 males, ranging in age from 25 to 74 years. From total 63 treated IA 33 were ruptured and 30 unruptured, 7 patients was with multiple aneurysm, 5 with 2 and 2 with 3 aneurysms. In this study 34 aneurysms were treated with coiling, 7 aneurysms with stent, 2 aneurysms with flow diverter and complex aneurysms with combined technique, 3 with balloon assisted coiling, 13 with stent assisted coiling and 2 with flow diverter assisted coiling. Two patients with giant aneurysms were treated with occlusion of parent artery after positive balloon occlusive test. Endovascular therapy is a minimally invasive procedure since it’s associated with less risk of bad outcomes, shorter hospital stays and shorter recovery times compared with surgery.
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Anomalous origin of the vertebral artery
(Macedonian Association of Anatomists and Morphologists, 2010)
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Aliji, Vjolca
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The posterior circulation of the brain consists of the vertebrobasilar system and its branches. Vertebral arteries are responsible for about 30% of brain blood supply. The aim of this study was to examine the origin of the vertebral artery and to present the anatomic variations of the vertebral artery origin as well as the percentage of their appearance in the population. Material and methods: The origin of the vertebral artery was investigated in 30 patients; a total of 60 vertebral arteries were examined with CT angiography and DSA by Seldinger technique. Results: Abnormal origin of the vertebral artery was found in one (3.3%) patient. Vertebral artery originated directly from the aortic arch, as a second branch between left subclavian artery and left common carotid artery. Conclusion: Real abnormality of the origin of the vertebral artery is rare; in our series it was found in 3.3% of the cases. The described variations of the vertebral artery origin are not only interesting from the anatomical point of view, but they also find clinical applications in the surgery and diagnostic and therapeutic radiology.
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Proton Magnetic Resonance Spectroscopy of Brain (H-MRS) in patient with temporal lobe epilepsy
(League against Epilepsy of Macedonia, 2016)
Chepreganovska-Changova, Tatjana
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Kuzmanovski, I
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Boshkovski, Bojan
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Neuro-Behcet syndrome: presentation of a case
(2014-10)
Vjolca Aliji
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Dejan Daskalov
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Role of DWI/ADC in evaluation of brain tumor and monitoring treatment response
(2016-09-22)
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Vjolca, Aliji
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Daskalov, Dejan
DWI consists of a DW image-diffusion trace and ADC map. DW image is a T2-weighted echo planar background image attenuated by the rate of apparent diffusion and with qualitative and quantitative assessment of the ADC map provide distinction of cytotoxic and vasogenic edema. DWI/ADC is used to assess brain tumors, tumor grading by providing information about tumor cellularity- prediction of tu grade. In high grade tumors DWI/ADC evaluate diffuse unenchancing spread and terapeutic response. ADC value of high grade gliomas has been shown to be lower than that of low-grade gliomas. In extra axial meningioma low ADC in atypical vs typical subtypes. Primary neoplasms- peritumoral edema/infiltration = low ADC vs secondary lesions. Lymphoma - high DWI/ low ADC due to its cellularity. DWI/ADC of therapeutic response provide information about post oper margin of surgical resection (ischemia, pyogenic infection-reduction of ADC). Useful in following treatment response and recurrence because cytotoxic chemoradiation reduce cellularity - increase ADC. Radiation necrosis usually showed heterogeneity on DWI images and often included spotty, marked hypointensity (Chiaki Asaoa, et al.AJNR2005). DWI useful in differentiating recurrent neoplasm from radiation necrosis. Material and method: We evaluate 33 cases with brain tumor. 19 of them after operative and/or chemoradiation therapy. All of them underwent on brain MRI enhanced with DWI/ADC, B-value o and 1000s/mm2 on 1,5T SIMENS Avanto. Results: From intraaxial tumor: 4 cases of glioma gr1; 5 gr2; 3 gr3 and 9 gr4; extraaxial 7 from witch 2 atypical and 5 secondary lesions. Follow up on operated gr2 and follow up on oper. and chemoradiated gr3 and 4 with detection of postradiation necrosis, residual tumor and recidiv however transformation in higher grade. Conclusion: Information about tumor type, malignancy grade, and the presence of necrosis is useful to determine the most suitable and effective treatment procedures. Serially obtained diffusion data is useful to document and even predict cellular response to drug or radiation therapy. Today DWI/ADC is necessary tool in CNS examination. DWI practical, useful, requires less imaging time vs other advance techniques but alone insufficient.
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Menagement of Large Carotid Body Tumor: Case Report
(Minerva Medica, 2015)
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Vlado Popovski
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Vjolca Aliji
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Lazareska, Menka

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