中枢神经系统肠源性囊肿影像学表现

许化致;孙 波;陈伟建;李建策

中国临床医学影像杂志 ›› 2007, Vol. 18 ›› Issue (12) : 841-843.

中国临床医学影像杂志 ›› 2007, Vol. 18 ›› Issue (12) : 841-843.
论著

中枢神经系统肠源性囊肿影像学表现

  • 许化致1,孙 波2,陈伟建1,李建策1
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Image features of enterogenous cysts in central nervous system

  • XU Hua-zhi1, SUN Bo2, CHEN Wei-jian1, LI Jian-ce1
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摘要

目的:探讨中枢神经系统肠源性囊肿的影像学表现。方法:收集经手术病理证实的肠源性囊肿12例,分析其影像学表现。结果:桥前池、桥小脑角池2例,脊髓腹侧髓外硬膜下间隙9例,背侧髓外硬膜下间隙1例,“脊髓嵌入症”8例。1例CT平扫等脑脊液密度。8例T1WI、T2WI类似脑脊液信号;3例T1WI、T2WI信号混杂。增强扫描,仅1例边缘轻度半环状强化。结论:中枢神经系统肠源性囊肿影像学表现具有一定的特征,MRI具有一定的诊断价值。

Abstract

Objective: To study the imaging features of enterogenous cysts in central nervous system. Methods: The clinical data including 12 cases of neurenteric cyst confirmed by surgery and pathology were collected and analyzed. Results: In the 2 intracranial cases, lesions located in anterior pontine cistern, the remaining 10 intraspinal cases were in intradural-extramedulla space, among which, 9 occurred in cervical segments, 1 in lumbar segment, 9 located anterior to the spinal cord and 1 posterior. In the intraspinal cases, 8 cases showed spinal cord incuneation. 9 cases showed isointense to CSF, 3 cases showed slightly hyperintense than CSF on T1WI, heterogenous hyperintense on T2WI, one lesion had restricted diffusion. All lesions had no enhancement on postcontrast images. Conclusion: To certain extent, the image manifestation of enterogenous cysts in central nervous system is characteristic, and MRI can make a correct diagnosis preoperatively.

关键词

中枢神经系统囊肿 / 磁共振成像

Key words

central nervous system cysts / magnetic resonance imaging

引用本文

导出引用
许化致;孙 波;陈伟建;李建策. 中枢神经系统肠源性囊肿影像学表现[J]. 中国临床医学影像杂志. 2007, 18(12): 841-843
XU Hua-zhi;SUN Bo;CHEN Wei-jian;LI Jian-ce. Image features of enterogenous cysts in central nervous system[J]. Journal of China Clinic Medical Imaging. 2007, 18(12): 841-843
中图分类号: R742    R445.2   

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