第三脑室脊索样脑膜瘤1例.PDFVIP

读　　片 磁共振成像 2011年第2卷第1期　Chin J Magn Reson Imaging, 2011, Vol 2, No 1 C ASE REPORT 第三脑室脊索样脑膜瘤1例 Chordoid meningioma in third ventricle: one case report 1 2 1 程婉滢 ，罗　麟 ，马　军 1 2 1 CHENG Wan-ying , LUO Lin , MA Jun 1 2 首都医科大学附属北京天坛医院 放射科， 病理科，100050 1 2 Imaging Center of Neuroradiology, Department of Pathology, Tiantan Hospital, Capital Medical University, Beijing 100050, China 作者简介：程婉滢(1982 －) ，女，博士，住院医师。E-mail: wanyingcheng@ 收稿日期：2010-11-16　接受日期：2010-12-13 中图分类号：R445.2; R739.45　文献标识码：B　DOI: 10.3969/j.issn.1674-8034.2011.01.019 关键词：脑膜瘤，脊索样；第三脑室　Key words: Meningioma, chordoid; Third ventricle 1 2A 2B 2C 2D 2E 2F 3 图1　头部CT平扫示三室结节状等密度影。幕上脑室扩大，室旁见片状低密度影　　图2　头部MRI平扫+增强。 图A 、B ：头部T1WI矢状位及轴位平扫示三脑室内结节状T1WI稍低信号影，边界清。图A可见垂体变扁、蝶鞍内 脑脊液样信号影；图C ：头部T2WI轴位平扫示三脑室内结节状T2WI稍高信号，其内信号不均匀 ，病灶周围见片 状T2WI高信号影，提示水肿；图D 、E 、F ：头部T1WI轴位、矢状位及冠状位增强扫描示三脑室内病灶明显均匀 强化　　图 3　术后病理切片光镜所见，结论:脊索样脑膜瘤 Fig 1 Head CT scan shows iso-density nodule in third ventricle. Bilateral ventricles are enlarged, with patchy low density around. Fig 2 Head MRI scan. Fig 2A, 2B: Pre-contrast sagittal and axial T1WI shows iso-signal nodule in third ventricle, the margin is well defined; Fig 2C: Axial T2WI shows heterogeneous high-signal nodule in third ventricle with patchy high signal intensity round the lesion; Fig 2D, 2E, 2F: After contrast medium injection, the lesion is homogeneously enhanced on axial, sagittal and coronal T1WI. Fig 3 Light microscope pathological result: chordoid meningioma. 患者，女，30岁