原发性颅内畸胎瘤的影像学诊断.pdfVIP

-1ω- 神经影像学 NEUROLOGICAL IMAGING 原发性颅内畸胎瘤的影像学诊断 潘国军 I 梁宗辉2 冯晓源2 陈星荣2 【摘要]目的:本文旨在探讨颅内畸胎瘤的影像学表现，以期提高认识。材料和方法:收集我院经手术病理证实的 颅内畸胎瘤 16 例，结合手术病理分析其 CT 和 MRI 表现。结果:颅内畸胎瘤好发于青少年，男性常见(10:6) ，临 床上以颅内压增高症状最多见(13/16) ， 其次是视力障碍( 5/16) 和意识丧失(2/16) ， 多见于中线部位如松果体区 ( 8116) 、鞍区( 3/16) 。肿瘤为实质性肿块，大小不一，瘤内成分复杂，常见脂肪、钙化、囊变等。 CT 和 MRI 表现根 据肿瘤的成分不同而异。实质部分常有中度至明显增强，均匀或不均匀;囊变/坏死、钙化或出血区无强化;无或 有极轻微瘤周水肿，有时伴有脑组织浸润。结论:颅内畸胎瘤有特殊的影像学表现， CT 和 MRI 各有优势，两者 结合可以明确诊断。 {关键词] 颅内;畸胎瘤;X 线计算机，体层摄影术;磁共振成像;诊断 中图分类号:R322. 81 文献标识码:A 文章编号: 1006- 5741(2008) - 03 - 0190- 05 Imaging Diagnosis of Primary Intracranial Teraωma 2 PAN Guo - jun , LIANG Zong - hui , FENG X.仙。 - yuα时， et αt [Abstract} Purpose: Primary intracranial teratoma is a rare tumor of central nervous system. Our pur- pose is to illustrate the imagìng features of primary intracranial teratoma in order to improve the knowledge. Materials and Methods: Pathologìcally proven sixteen teratomas were ìncluded in this se- ries. All were examined wìth MRI (15 with enhanced scan) and 8 with CT (3 with enhanced scan). All the images were analyzed , compared with operative and pathologìcal findings. Results: In sìxteen ter- atomas , there are ten male and sìx female , range from 6 to 59 yrs with average 18yrs. The most common symptom was increased intracranial pres斗sure (131 16) , followed by vision deficìt (51 1时， and uncon- scìousness (2/16). In 8 patìents the tumors arωe from pineal regìons and 3 from the suprasellar reg