Lazareska, Menka

Preferred name
Lazareska, Menka
Official Name
Lazareska, Menka
Main Affiliation
Email
menka.lazareska@medf.ukim.edu.mk

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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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    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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    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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    Branches of the Basilar Artery Examined with CT Angiography
    (EUROPEAN ASSOCIATION OF CLINICAL ANATOMY (EACA), 2019)
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    Anatomy and clinical significance of the posterior inferior cerebellar artery
    (Macedonian Association of Anatomists and Morphologists, 2016)
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    With the introduction of new techniques in diagnostic and interventional radiology and progress in micro neurosurgery, accurate knowledge of the brain blood vessels is essential in daily clinical work. The aim of this study was to describe the anatomical characteristics of the posterior inferior cerebellar arteries and to emphasize their clinical significance. In this study we examined radiographs of 103 patients who had CT angiography at the University Clinic for Radiology in Skopje, R. Macedonia. This study included 45 females and 58 males, age range from 25 to 82 years; mean age 58.4±13.2 years. The outer diameter of the posterior inferior cerebellar artery at its origin on the left side was in the range between 0.46 - 2.80 mm, mean 1.24 ± 0.42 mm. The outer diameter of the posterior inferior cerebellar artery on the right side was in the range between 0.54 - 2.50 mm, mean 1.18 ± 0.40 mm. Thorough knowledge of the anatomy and variations of the posterior inferior cerebellar artery is important for clinicians as well as for basic scientists who deal with problems related to intracranial vasculature on daily basis for safe performance of diagnostic and interventional procedures.
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