Gupta S K, Nema H V, Bhatia P L, Sasibabu K, Kesharwani R
Clin Radiol. 1979 Sep;30(5):553-7. doi: 10.1016/s0009-9260(79)80194-4.
Three cases of neurofibromatosis are reported showing a wide spectrum of roentgen abnormalities affecting the skull and facial bones. One case had macrocrania and multiple calvarial defects; enlargement of the sella turcica and middle cranial fossa was also present. All the three cases had orbital changes either in the form of enlargement, reduced anteroposterior width or loss of bony outlines with an appearance of emptiness. The other two cases showed predominantly facial involvement with hypoplasia of the mandibular body and ramus, abnormal coronoid process, zygomatic arch, hypoplastic maxilla, cystic mandible with abnormal dentition and absence of the osseous external auditory meatus. Intra-orbital calcification was present in one case. The radiological projections required to evaluate such cases are discussed. The 20 degrees occipito-mental view has been found extremely useful and is recommended.
报告了3例神经纤维瘤病病例，其显示出影响颅骨和面部骨骼的广泛的X线异常。1例有巨颅和多处颅骨缺损；还存在蝶鞍和中颅窝扩大。所有3例均有眼眶改变，表现为眼眶扩大、前后径减小或骨轮廓消失而呈空虚外观。另外2例主要表现为面部受累，下颌体和下颌支发育不全、冠状突异常、颧弓、上颌骨发育不全、下颌骨囊肿伴牙列异常以及外耳道骨质缺失。1例存在眶内钙化。讨论了评估此类病例所需的放射学投照。已发现20度枕颏位视图非常有用并予以推荐。
