Gudinchet F, Brunelle F, Duvoisin B, Ernest C, Couly G, Renier D
Service de radiodiagnostic, CHUV, Lausanne.
Schweiz Rundsch Med Prax. 1992 Sep 29;81(40):1196-201.
Basal cephaloceles of the child are rare pathologies which require accurate preoperative imaging work-up. The CT and MR studies of six children with surgically proven basal cephalocele were retrospectively reviewed to evaluate the role of CT and MR in the preoperative work-up of a basal cephalocele of the child. In five patients, MR allowed to define the nature and topography of the cephalocele, and allowed an accurate depiction of the optic tract, ante- and post-hypophysis and associated agenesis of corpus callosum when present. 3-D CT allowed in one case a more precise depiction of the basal bony defect. MRI allows in a non invasive and non ionising way the best depiction of herniating meninges, brain or ventricles as well as associated cerebral anomalies.
儿童基底颅裂是罕见的病变,术前需要进行精确的影像学检查。回顾性分析6例经手术证实为基底颅裂患儿的CT和MR研究,以评估CT和MR在儿童基底颅裂术前检查中的作用。5例患者中,MR能够明确颅裂的性质和部位,并能准确显示视束、垂体前后叶以及存在时的胼胝体发育不全。3D CT在1例病例中更精确地显示了基底骨缺损。MRI能够以非侵入性和非电离的方式最佳地显示疝出的脑膜、脑或脑室以及相关的脑异常。