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桥脑疑似毛细血管扩张症:磁共振成像及随访

Presumed capillary telangiectasia of the pons: MRI and follow-up.

作者信息

Küker W, Nacimiento W, Block F, Thron A

机构信息

Department of Neuroradiology, University Hospital of the Technical University, Aachen, Germany.

出版信息

Eur Radiol. 2000;10(6):945-50. doi: 10.1007/s003300051043.

DOI:10.1007/s003300051043
PMID:10879709
Abstract

Capillary telangiectasia is a vascular abnormality primarily of the brainstem. The clinical relevance is unclear as is the association with clearly pathologic findings such as cavernous haemangioma. We report on four cases with capillary telangiectasia proven by follow-up and describe the imaging characteristics. T2 abnormality was only observed in half of the patients as was the presence of a discernable collecting vein. Whereas two cases were incidental findings in neurologically normal persons and one had symptoms clearly attributable to lacunar stroke, one patient may have had symptoms due to the vascular abnormality in the pons.

摘要

毛细血管扩张症是一种主要累及脑干的血管异常。其临床相关性尚不清楚,与诸如海绵状血管瘤等明确的病理表现之间的关联也不明确。我们报告了4例经随访证实的毛细血管扩张症病例,并描述了其影像学特征。仅半数患者观察到T2异常,可识别的引流静脉亦是如此。其中2例为神经功能正常者的偶然发现,1例有明确的腔隙性卒中所致症状,1例患者的症状可能归因于脑桥的血管异常。

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引用本文的文献

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Susceptibility-weighted angiography for the detection of high-flow intracranial vascular lesions: preliminary study.磁敏感加权血管成像在高流量颅内血管病变检测中的应用:初步研究。
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Susceptibility-weighted MR imaging for diagnosis of capillary telangiectasia of the brain.

本文引用的文献

1
Developmental venous anomalies of the posterior fossa with transpontine drainage: report of 3 cases.后颅窝经脑桥引流的发育性静脉异常:3例报告。
Eur Radiol. 1997;7(6):913-7. doi: 10.1007/s003300050227.
2
Slow-flow vascular malformations of the pons: capillary telangiectasias?脑桥慢血流血管畸形:毛细血管扩张症?
AJNR Am J Neuroradiol. 1996 Jan;17(1):71-8.
3
Magnetic resonance angiography of cerebral developmental venous anomalies: its role in differential diagnosis.脑发育性静脉异常的磁共振血管造影:其在鉴别诊断中的作用。
磁敏感加权成像在脑毛细血管扩张症诊断中的应用。
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MRI of the fetal posterior fossa.胎儿后颅窝的磁共振成像
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Neurosurgery. 1991 Jan;28(1):60-4.