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低颅压综合征的MRI诊断 总被引:1,自引:0,他引:1
目的 分析低颅压综合征的MRI表现,以提高对本病的认识. 资料与方法 搜集经临床证实的低颅压综合征10例,治疗前均行MRI检查,其中3例仅行平扫,7例同时平扫和增强,3例加MRA,1例加MRV. 结果 10例均有硬脑膜增厚、静脉窦和脑静脉扩张;6例可见脑下垂和脑室缩小表现;4例可见侧枝静脉窦显影(基底丛和岩下窦);5例可见垂体增大;4例出现硬膜下积液;增强7例均见硬脑膜均匀性增厚强化,软脑膜无强化,2例见脊膜强化. 结论 低颅压综合征具有特征性的MRI表现,结合脑脊液压力检测,可以明确诊断. 相似文献
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目的:探讨自发性低颅压综合征的MRI表现特征.材料和方法:回顾性分析11例自发性低颅压综合征的CT、MRI表现特点.11例均为女性.1例仅行MRI平扫,10例行MRI平扫及增强扫描,其中1例同时行CT平扫.结果:CT表现正常1例.MRI显示额、颞、顶、枕部对称性硬脑膜均匀性增厚9例,伴明显增强11例,合并硬膜下积液6例,硬膜下亚急性期积血3例,"脑下垂"3例.结论:广泛而对称的硬脑膜均匀性增厚、增强是自发性低颅压综合征的特征性影像学表现,MRI有助于诊断自发性低颅压综合征. 相似文献
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目的:探讨低颅压综合征的MRI典型征象。方法:分析4例经临床治疗证实的低颅压综合征患者的临床与MRI检查资料。结果:4例均可见硬脑膜增厚强化、脑室及桥前池变小、硬膜下积液(其中2例硬膜下积液中蛋白含量增高,2例继发硬膜下血肿)、幕上脑实质内陷;3例见脑下垂及小脑扁桃体下移。结论:低颅压综合征患者的头颅MRI表现具有典型征象,分析这些征象有助于MRI对低颅压综合征的正确诊断。 相似文献
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目的:分析低颅压综合征的影像表现,以提高对本病的认识。方法:回顾性分析10例低颅压综合征的影像表现,2例行头颅CT平扫、头颅MRI平扫、增强扫描及脊柱增强扫描,4例行头颅MRI平扫,4例行头颅MRI平扫及增强扫描。结果:2例头颅CT平扫显示脑室缩小。10例头颅MRI扫描均匀硬脑膜增厚,4例出现脑室缩小和脑下垂,4例出现垂体增大,5例出现硬膜下积液,6例增强扫描均显示硬脑膜弥漫性增厚并明显强化。1例脊柱MRI扫描显示硬脊膜弥漫增厚并明显强化。结论:低颅压综合征具有特征性的MRI表现,结合临床表现及脑脊液压力测定,可以明确诊断。 相似文献
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自发性低颅压综合征的影像学表现 总被引:5,自引:0,他引:5
目的:探讨自发性低颅压的影像学表现,以提高对该病的认识.材料和方法:回顾性分析13例自发性低颅压影像学表现.结果:13例头颅CT表现:11例正常,1例硬膜下血肿,1例双侧硬膜下少量积液.6例行头颅MRI均显示弥漫性脑膜增厚,脑膜增强.结论:影像学特别是MRI表现具有一定的特征性,有助于帮助诊断自发性低颅压. 相似文献
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低颅压综合征的MRI表现(附5例报告) 总被引:1,自引:1,他引:0
目的 探讨低颅压综合征的MRI表现.资料与方法 回顾性分析5例低颅压综合征的影像学表现,其中1例行头颅CT平扫、头颅和脊柱MRI平扫及增强扫描、头颅MRV扫描,3例行头颅MRI平扫及增强扫描,1例行脊柱MRI平扫及增强扫描.结果 1例头颅CT扫描未见异常.4例头颅MRI扫描均显示硬脑膜弥漫性增厚并明显强化,1例出现脑下垂.1例头颅MRV显示上矢状窦、直窦、横窦扩张.2例脊柱MRI扫描显示硬脊膜广泛增厚并明显强化.结论 硬脑(脊)膜弥漫性增厚强化是低颅压综合征的特征性影像学表现,MRI增强扫描是诊断低颅压综合征的敏感影像学检查方法. 相似文献
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自发性低颅压综合征的临床特点和MRI表现 总被引:2,自引:0,他引:2
目的:分析自发性低颅压综合征的临床特点和MRI表现.材料和方法:5例SIH患者均行腰穿和MRI检查.结果:5例患者均有特征性体位性头痛症状,腰穿脑脊液压力为98~490Pa(10~50mm H2O),MRI平扫示4例出现脑膜增厚,增强扫描显示双侧额、顶、颞、枕颅板下方及小脑幕脑膜对称性条状增强,1例出现硬膜下出血,2例出现脑下垂,保守治疗后出血吸收,脑下垂表现缓解.结论:综合分析临床表现、腰穿结果和MRI表现可明确诊断. 相似文献
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低颅压综合征的临床特点与MRI表现 总被引:1,自引:0,他引:1
目的:分析14例低颅压综合征的临床特点及其MRI表现。方法:回顾性分析14例低颅压综合征患者的临床及MRI资料。结果:所有患者均有特征性体位性头痛;特征性MRI表现为7(7/8)例显示硬脑膜增厚,8(8/8)例显示窦汇扩张(后下缘后凸呈弧形),7(7/8)例显示双侧硬脑膜弥漫性对称性均匀性强化,10(10/14)例MRM示脊膜憩室、囊肿、脑脊液漏。结论:低颅压综合征的临床特点多样,体位性头痛是其特征性症状;头颅MRI增强扫描具有特征性表现,MRM可较为明确的显示脑脊液漏的部位;MRI检查在低颅压综合征的诊断中具有较大应用价值。 相似文献
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Neuroimaging features of spontaneous intracranial hypotension 总被引:11,自引:0,他引:11
We reviewed the cranial MRI and radionuclide cisternograms of four adults with postural headache indicating spontaneous intracranial
hypotension (SIH). All four underwent clinical and radiological follow-up. MRI showed diffuse, thin meningeal enhancement;
bilateral subdural fluid collections; and morphological abnormalities secondary to “sagging” of the brain. Radionuclide cisternography
revealed direct or indirect signs of leakage of cerebrospinal fluid (CSF) along the spinal axis, and the symptoms resolved
after the leak treated by epidural injection of blood at a level indicated by the cisternogram. The diffuse meningeal enhancement
decreased but persisted on follow-up MRI, although the patients were asymptomatic. All morphologic abnormalities resolved
during 3–5 months follow-up.
Received: 24 August 1998 Accepted: 27 April 1999 相似文献
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Spontaneous intracranial hypotension: the value of brain measurements in diagnosis by MRI 总被引:3,自引:0,他引:3
Messori A Simonetti BF Regnicolo L Di Bella P Logullo F Salvolini U 《Neuroradiology》2001,43(6):453-461
Caudal brain displacement is inconstantly reported as an MRI feature of spontaneous intracranial hypotension (SIH). We reviewed
the clinical data and MRI of eight patients diagnosed as having SIH and investigated the possibility of more precise assessment.
On midsagittal images we measured four anatomical landmarks: the position of the cerebellar tonsils, fourth ventricle, and
infundibular recess, plus the angle between the bicommissural line and a line tangential to the floor of the fourth ventricle;
midsagittal images from 89 normal controls were also measured. On statistical analysis, all measurements differed in the two
groups, and the difference was significant for the cerebellar tonsils, fourth ventricle, and infundibular recess. Some overlap
between patients and controls was found for each measurement; however, all the patients had two (two patients) or more (six)
values outside the range in normal controls range or not above their 1st quartile. Measurement of the position of the third
ventricle seemed particularly sensitive. We suggest that examination of midsagittal images can help in diagnosing clinically
suspected SIH.
Received: 17 July 2000 Accepted: 20 November 2000 相似文献
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Diagnosis and temporal evolution of signs of intracranial hypotension on MRI of the brain 总被引:1,自引:1,他引:0
Introduction A comprehensive evaluation of cranial magnetic resonance imagings (MRIs) of 23 patients with intracranial hypotension (IH)
was performed, and the evolution of the abnormalities on follow-up MRIs was correlated with the clinical outcome.
Materials and methods The MRI report database at the University Health Network in Toronto was searched, and 23 cases of IH were identified between
2001 and 2007. A retrospective review of the MRIs of the brain and the electronic patient chart was performed. A control group
of 40 subjects was also selected to complement the analysis of the pituitary gland.
Results A positive venous distention sign (VDS) was observed in 23 out of 23 patients and was the first sign to disappear on early
follow-up scans following successful treatment. Pachymeningeal enhancement was seen in 23 out of 23 patients, and pachymeningeal
thickening was detectable on unenhanced fluid attenuation inversion recovery (FLAIR) sequences in 17 out of 23 patients (74%).
An increase in pituitary size in IH was also demonstrated based on the measured pituitary height and was qualitatively detectable
in 12 out of 21 (57%) patients as the protrusion of the pituitary gland above the sella turica (two postpartum patients were
excluded from this analysis). Overall, there was good correlation between the imaging findings and clinical outcome following
treatment.
Conclusion Accurate diagnosis and follow-up of IH should be possible is some patients on unenhanced MRI of the brain by combining the
signs on FLAIR and sagittal T1W images, enabling timely diagnosis in unsuspected cases and avoiding unnecessary administration
of gadolinium compounds. In addition, VDS might be useful for early assessment of response to treatment. 相似文献
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中线颅内脂肪瘤的磁共振影像诊断 总被引:3,自引:0,他引:3
颅内脂肪瘤MRI特征性的信号表现及位置的中线性说明MRI对诊断具有重要意义。材料与方法:对16例MRI诊断的颅内脂肪瘤进行回顾性分析总结。全部 病例临床表现无特异性,均用Philips0.5T-Ⅲ型超导磁共振机采用自旋回波序列(SE)进行扫描,T:加权像TR=500-520/TE=25,T2加权像TR=2273/TE=90,距阵256×256,行同、矢状及冠状位扫描,就其信号表现及颅内益进行分析总 相似文献