中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2008年
7期
32-33
,共2页
脑海绵状血管瘤%诊断%磁共振成像
腦海綿狀血管瘤%診斷%磁共振成像
뇌해면상혈관류%진단%자공진성상
Cavemousangiomas%Diagnostic%Magneticresenanceimaging
目的 探讨颅内海绵状血管瘤(cavernousangiomas,CA)的临床与其MRI,CT和DSA表现特点及其诊断价值.方法 回顾性分析经临床及影像学综合诊断(30例CA全部做MRI检查,26例同时作CT检查,12例同时作DSA检查)的CA 30例.结果 27例脑内型CA患者CT共发现病灶25个.CA的MRI平扫表现为T1WI呈等或低信号9个,高信号7个,混杂信号3个;T2WI呈高低混杂信号8个,26个病灶周围伴有低信号环,无占位效应;单发23例,占76.6%.病灶分布:颞叶7个,额叶9个,枕叶2个,顶叶1个,脑干1个,小脑半球1个,左侧侧脑室前角处1个,海绵窦3个,本组首发癫痫19例(63%),出血8例(27%),视蒙5例,反复出血者7例.本组手术切除病灶病理证实18例,在外院行入刀治疗1例,术后癫痫有效控制6例,治愈出院12例.结论 CA临床表现显示该病青中年较多,起病急且易复发.CA有典型影像表现,CT和MRI平扫对明确诊断具有重要意义,MRI优于CT,是首选和最佳影像学方法 .除对于无症状CA患者行保守治疗外,有症状的患者一经诊断,可行手术治疗.
目的 探討顱內海綿狀血管瘤(cavernousangiomas,CA)的臨床與其MRI,CT和DSA錶現特點及其診斷價值.方法 迴顧性分析經臨床及影像學綜閤診斷(30例CA全部做MRI檢查,26例同時作CT檢查,12例同時作DSA檢查)的CA 30例.結果 27例腦內型CA患者CT共髮現病竈25箇.CA的MRI平掃錶現為T1WI呈等或低信號9箇,高信號7箇,混雜信號3箇;T2WI呈高低混雜信號8箇,26箇病竈週圍伴有低信號環,無佔位效應;單髮23例,佔76.6%.病竈分佈:顳葉7箇,額葉9箇,枕葉2箇,頂葉1箇,腦榦1箇,小腦半毬1箇,左側側腦室前角處1箇,海綿竇3箇,本組首髮癲癇19例(63%),齣血8例(27%),視矇5例,反複齣血者7例.本組手術切除病竈病理證實18例,在外院行入刀治療1例,術後癲癇有效控製6例,治愈齣院12例.結論 CA臨床錶現顯示該病青中年較多,起病急且易複髮.CA有典型影像錶現,CT和MRI平掃對明確診斷具有重要意義,MRI優于CT,是首選和最佳影像學方法 .除對于無癥狀CA患者行保守治療外,有癥狀的患者一經診斷,可行手術治療.
목적 탐토로내해면상혈관류(cavernousangiomas,CA)적림상여기MRI,CT화DSA표현특점급기진단개치.방법 회고성분석경림상급영상학종합진단(30례CA전부주MRI검사,26례동시작CT검사,12례동시작DSA검사)적CA 30례.결과 27례뇌내형CA환자CT공발현병조25개.CA적MRI평소표현위T1WI정등혹저신호9개,고신호7개,혼잡신호3개;T2WI정고저혼잡신호8개,26개병조주위반유저신호배,무점위효응;단발23례,점76.6%.병조분포:섭협7개,액협9개,침협2개,정협1개,뇌간1개,소뇌반구1개,좌측측뇌실전각처1개,해면두3개,본조수발전간19례(63%),출혈8례(27%),시몽5례,반복출혈자7례.본조수술절제병조병리증실18례,재외원행입도치료1례,술후전간유효공제6례,치유출원12례.결론 CA림상표현현시해병청중년교다,기병급차역복발.CA유전형영상표현,CT화MRI평소대명학진단구유중요의의,MRI우우CT,시수선화최가영상학방법 .제대우무증상CA환자행보수치료외,유증상적환자일경진단,가행수술치료.
Objecflve To study the characteristic of cavemousangioma(CA)in clinical information and all films(MRI,CT,DSA)and value.Methods Retrospective analyze 30 patients of CA who were general inspected and diagnosed by clinic and imageoiogy(All were examined with MRI,26 with CT and at same time,12 with DSA.).Results There are 25 focus of infection in 27 encephalon CA patients in CT scan.they were equal or low signal in 9 cases on T1WI,hypsosignal in 7,farrago signal in 3 and had farrago signal in 8 Patients on T2WI,low signal around focus of infection in 26,which was not to occupy plaee;one infection in 23 (76.6%).the infection distribution is:7 at temporal lobe,9 at frontal lobe,2 at occipital lobe and one in every apical lobe,brain stem,cerebellar hemisphere and left antecoronu,,3 at cavemous sinus,19 eases occufred epilepsy at the first time,hemorrhage in 8,vision vague in 5 and repetatur hemorrhage in 7 cases.18 cases were proved by operation or biopsy,l Was cured by λ knife at other hospital,epilepsy were valid controlled after operation in 6 cases and 12 had good outcome.Conclusion CA Occur more in middle-aged and young,on8te urgently and easy to hemorrhage again.CA has typical appearance,CT or MRI scan were significancent in identify,MRI is the best and first irnageology method.symptomatic CA shoud be operated once diagnoses except Some expectant treatment for symptoudess patients.
