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翼腭窝神经鞘瘤的CT和MRI诊断
引用本文:杨本涛,王振常,鲜军舫,刘莎,张征宇,兰宝森. 翼腭窝神经鞘瘤的CT和MRI诊断[J]. 临床放射学杂志, 2008, 27(10)
作者姓名:杨本涛  王振常  鲜军舫  刘莎  张征宇  兰宝森
作者单位:首都医科大学附属北京同仁医院放射科,100730;首都医科大学附属北京同仁医院放射科,100730;首都医科大学附属北京同仁医院放射科,100730;首都医科大学附属北京同仁医院放射科,100730;首都医科大学附属北京同仁医院放射科,100730;首都医科大学附属北京同仁医院放射科,100730
摘    要:目的 分析翼腭窝神经鞘瘤的CT和MRI表现. 资料与方法 回顾性分析12例经组织学证实的翼腭窝神经鞘瘤的影像学资料. 结果 12例神经鞘瘤均为单侧发病,病变以翼腭窝为中心生长并向其通道及周围间隙蔓延,边界清楚,呈卵圆形8例,梭形4例.CT表现:翼腭窝扩大,相应骨质受压变薄、移位及吸收;平扫显示10例病变密度均匀,另2例病变内可见低密度区,5例行CT增强扫描,其中3例病变显示不均匀强化.MRI表现:与脑实质比较,T1WI均呈等信号;T2WI呈等信号9例,高信号3例,10例病灶内可见点、片状高信号,其中5例并可见结节状高信号;增强后不均匀强化,T2WI上所见的高信号区均未见明显强化,其他区域中度或显著强化. 结论 根据典型的骨质及信号改变,可提示本病诊断.

关 键 词:神经鞘瘤  翼腭窝  体层摄影术  X线计算机  磁共振成像

CT and MRI Diagnosis of Schwannoma Arising in the Pterygopalatine Fossa
YANG Bentao,WANG Zhenchang,XIAN junfang,et al.. CT and MRI Diagnosis of Schwannoma Arising in the Pterygopalatine Fossa[J]. Journal of Clinical Radiology, 2008, 27(10)
Authors:YANG Bentao  WANG Zhenchang  XIAN junfang  et al.
Affiliation:YANG Bentao,WANG Zhenchang,XIAN junfang,et al.Department of Radiology,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,P.R.China
Abstract:Objective To study CT and MRI findings of schwannoma arising in the pterygopalatine fossa.Materials and Methods CT and MRI findings of 12 patients with schwannoma in the pterygopalatine fossa confirmed by pathology were analyzed retrospectively.Results The tumor was observed in left pterygopalatine fossa in eight cases and in the right in 4 cases.The lesions originated in the pterygopalatine fossa and extended to communicating pathways with the pterygopalatine fossa and adjacent spaces.The lesion appeared a...
Keywords:Schwannoma Pterygopalatine fossa Tomography  X-ray computed Magnetic resonance imaging  
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