Nakagawa S, Kawaguchi S, Abe M, Yonemitsu N, Tabuchi K
Department of Neurosurgery, Saga Medical School, Japan.
No Shinkei Geka. 1999 May;27(5):475-80.
We report a case of a 55-year-old man with endodermal cyst located in the cerebellopontine angle cistern. The patient presented with dizziness. Magnetic resonance imaging (MRI) revealed multilocular cystic lesion at the right cerebellopontine angle. T1-weighted image showed a mass with a low signal intensity, but higher intensity than CSF. Gd-DTPA T1-weighted image showed no enhancement in the mass. Diffusion-weighted image showed a mass with no signal lesion. After successful surgical removal, it was found to be an endodermal cyst. These cysts have usually been found in the spinal canal, and their intracranial occurrence is exceptional. The unusual location of the cyst and its histological features and radiological findings are discussed.
我们报告一例55岁男性,其在桥小脑角池存在内胚层囊肿。该患者表现为头晕。磁共振成像(MRI)显示右侧桥小脑角有多个分隔的囊性病变。T1加权像显示肿块呈低信号强度,但高于脑脊液信号强度。钆喷酸葡胺(Gd-DTPA)T1加权像显示肿块无强化。弥散加权像显示肿块无信号病变。成功手术切除后,发现为内胚层囊肿。这些囊肿通常见于椎管内,其颅内发生情况较为罕见。本文讨论了该囊肿不寻常的位置及其组织学特征和影像学表现。