Okamoto K, Ito J, Furusawa T, Sakai K, Tokiguchi S
Department of Radiology, Niigata University School of Medicine, 1-757 Asahimachi-dori, Niigata, 951-8510 Japan.
Neuroradiology. 1999 Oct;41(10):723-8. doi: 10.1007/s002340050831.
We reviewed the imaging of four pathologically proven calvarial eosinophil granulomas. The diameter of the lesions ranged from 13 to 40 mm; three were biconvex, but the other had a collar-stud appearance. Two lesions were in the frontal and two in the parietal bone. On bone-window CT, a bevelled edge was seen in three cases and button sequestration in one, but no sclerotic rim was shown. Although one lesion had a low-density area, the lesions were slightly denser than grey matter. They were isointense with grey or white matter on T1-weighted MRI and gave heterogeneous high signal on proton-density and T2-weighted images. All enhanced markedly, with a less strongly enhancing portion within them. A tail of dural enhancement and reactive change in the overlying galea or temporal muscle were seen in all cases.
我们回顾了4例经病理证实的颅骨嗜酸性肉芽肿的影像学表现。病变直径为13至40毫米;3个呈双凸形,另1个呈纽扣样外观。2个病变位于额骨,2个位于顶骨。在骨窗CT上,3例可见斜面边缘,1例可见纽扣状死骨,但均未见硬化边缘。尽管1个病变有低密度区,但病变密度略高于灰质。在T1加权MRI上,它们与灰质或白质等信号,在质子密度加权像和T2加权像上呈不均匀高信号。所有病变均有明显强化,内部有强化较弱的部分。所有病例均可见硬脑膜强化尾征及上方帽状腱膜或颞肌的反应性改变。