课件：中枢神经系统影像学诊断.ppt

Cranial Metastasis of Hepatocellular Carcinoma Hydatid cyst of the brain THANK YOU SUCCESS * * 可编辑 * Multiphasic perfusion CT obtained 3 hours after the sudden onset of right hemiparesis and aphasia in a 76-year-old woman. This patient was in the nonmalignant group. A, Unenhanced CT shows hypoattenuation in the peri-Sylvian cortex of the left hemisphere (arrows). B, Peak phase scan of multiphasic perfusion CT shows hypoperfusion in the left peri-Sylvian cortex and insula. C, CT scan at delayed phase shows vascular and parenchymal enhancement of the left MCA territory. D, Peak perfusion CT map shows a hypoperfused area in the left frontotemporal lobe (arrows). The hypoperfused area is larger than the hypoattenuated lesion seen on unenhanced CT. E, Total perfusion CT map shows no obvious hypoperfused lesion in the left peri-Sylvian cortex. Slow collateral flow may explain the discrepancy in the hypoperfused lesions between the CT peak and total perfusion maps. F, Follow-up unenhanced CT scan obtained 2 days after symptom onset shows infarction in the left peri-Sylvian cortex and left basal ganglia. The extent of the infarction is similar to that of peak perfusion CT map. Note that the mass effect of infarction is not severe. Male, 48 yr 海绵状血管瘤 cavernous hemangioma M，31yr 颅内动脉瘤intracranial aneurysm 描述 为血管的局限性扩张 病因 先天性 80％ 后天性 20％ 常见年龄 predominated onset age 30～60 years old Predominated location Internal carotid artery 90% Vertebral and basilar artery system 10% 并发症 蛛网膜下腔出血 The white arrow on the black card marks the site of a ruptured berry aneurysm in the circle of Willis The circle of Willis has been dissected, and three berry aneurysms are seen. 脑肿瘤 Brain tumor 概况 恶性 胶质瘤 glioma 40～50％ 转移瘤 metastasis 3.19~12.92% 良性 脑膜瘤 meningioma 15～20％ 垂体瘤 pituitary adenoma 10% 颅咽管瘤 craniopharyngioma 听神经瘤 acoustic neurinoma 脑肿瘤 Brain tumor 胶质瘤（glioma） 星形细胞瘤 astrocytoma 40% 少突胶质细胞瘤 oligodendroglioma