Domínguez J, Castro V, Rivas J J, Fenández L M, Lorenzo J N, Bravo P
Servicio de Neurocirugía, Hospital Nuestra Señora de Candelaria, Santa Cruz de Tenerife.
Neurocirugia (Astur). 2001 Dec;12(6):525-8. doi: 10.1016/s1130-1473(01)70672-0.
Xanthogranulomas of the choroid plexus in the lateral ventricle are usually asymptomatic lesions found incidentally at autopsy. Symptomatic cases are rare. We present the case of a 30-year-old woman with a xanthogranuloma of the right lateral ventricle who showed intracranial hypertension and visual disturbance. Plain T1-weighted magnetic resonance images disclosed a isointense right temporal lesion in the ventricular horn which showed decreased signal intensity on T2-weighted images and massive enhancement on T1-weighted images after gadolinium injection. She was operated on through a right temporal craniotomy with total excision. We review the literature and discuss radiological findings on MRI.
侧脑室脉络丛黄色肉芽肿通常是在尸检时偶然发现的无症状病变。有症状的病例很少见。我们报告一例30岁女性,患有右侧脑室黄色肉芽肿,表现为颅内高压和视力障碍。T1加权磁共振平扫图像显示脑室角右侧颞部等信号病变,T2加权图像上信号强度降低,注射钆后T1加权图像上有大量强化。她通过右侧颞部开颅手术进行了全切。我们回顾了文献并讨论了MRI的影像学表现。