脑干海绵状血管拟瘤影像学.pdfVIP

278 Chin J Neurosurg Se tember, 1997, Vol. 13, N o. 5 孙　波　王忠诚 : , 48 : 48, ; : CT M RI CT M RI CT , CT , , M RI , 18, 31 ; 4: ; MRI ; CT MRI CT and M RI studies on cavernous angiom as of the brainstem S un B o, Ch ung cheng W ang , B e ij ing N eurosur g ical I nst it ute , B e ij ing 100050 Abstract Objective: T he clinical, radiological and histo athological features of the brainst em cav- ernous angiomas are review ed based on a analysis of forty-eight cases. Met hods: CT and MRI images 48 . : and athologically roven w ere done on all cases Results CT and M RI studies revealed characteris- . tic of cavernous angiomas in all at ients The lesions w ere isodense to moderately hy erdense on nonen- hanced CT scan. Enhancement follow ing contrast administration varies from minimal to striking . M RI scans show ed a ty ical o corn-like lesion with a w ell-delineated com lex ret iculated core of high or mixed signal intensities re resenting hemorrhage in different st ages of evolution and gliosis or granula- . 30 18 tion The lesions w ere mainly locat ed in the ons in cases w hile w ere in the midbrain or medulla oblongata. Multi le lesions w ere seen in 3 atients. Grow th of cavernous angiomas w as demonstrated in 5 atients on sequential scaning in resent series. One case described from athological mat erial con- 4 ,