临床误诊误治2017，Vol.30Issue(2)：14-17,4.DOI:10.3969/j.issn.1002-3429.2017.02.005
海绵窦海绵状血管瘤影像学特点及误诊分析
Imaging Features and Misdiagnosed Analysis of Cavernous Hemangioma of Cavernous Sinus
吴静 1汪文胜 1成丽娜 1贺鹏 1梁倩文1
作者信息
- 1. 510510广州,广东三九脑科医院影像中心
- 折叠
摘要
Abstract
Objective To analyze imaging features, misdiagnosed causes and prevention methods of cavernous he-mangioma of cavernous sinus ( CHCS) . Methods Clinical and imaging data of 5 CHCS patients ( including 2 misdiagnosed patients) was retrospectively analyzed, and relevant literature was also reviewed. Results All patients were female, and the age was 34-56 years old, of whom 2 patients were misdiagnosed as having meningioma before operation, and the misdiagnosed time were 2 and 4 weeks respectively. Imaging examination showed that the 5 patients were solitary lesions, in which 3 lesions were located in the left cavernous sinus and 2 in the right cavernous sinus;4 lesions were grew across the internal and external sella turcica. Plain CT images for 2 patients showed that lesions were slightly high intensity. Magnetic resonance imaging (MRI) examination for 5 patients showed that low or slightly low signal on T1WI images, high signal and significantly high signal on T2WI images and obviously homogeneous enhanced on all enhanced MRI images. Among the 5 patients, 4 patients underwent partial excision and postoperative radiotherapy, and the rest patient underwent complete excision, and CHCS was confirmed by postoperatively pathological results. The prognosis was good in the 5 patients, and no recurrence was found dur-ing 2 years of follow-up. Conclusion CHCS has some special characteristics in imaging, and therefore clinicians should im-prove the understanding of imaging features and change scan model in order to decrease misdiagnosis rate.关键词
血管瘤,海绵状,中枢神经系统/误诊/脑膜瘤/磁共振成像/体层摄影术,螺旋计算机Key words
Hemangioma/cavernous/central nervous system/Misdiagnosis/Meningioma/Magnetic resonance ima-ging/Tomography/spiral computed分类
医药卫生引用本文复制引用
吴静,汪文胜,成丽娜,贺鹏,梁倩文..海绵窦海绵状血管瘤影像学特点及误诊分析[J].临床误诊误治,2017,30(2):14-17,4.
