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颅骨纤维异常增殖症——一项放射学、计算机断层扫描及闪烁扫描研究(作者译)

[Fibrous dysplasia of the skull--a radiological, computer tomographic and scintigraphic study (author's transl)].

作者信息

Vogelsang H, Stöppler L, Thiede G

出版信息

Rofo. 1978 Mar;128(3):253-7. doi: 10.1055/s-0029-1230836.

Abstract

The diagnosis of fibrous dysplasia (Jaffé-Lichtenstein) of the skull can generally be made by plain films, occasionally supplemented by tomography. The differential diagnosis from sclerosing meningiomas in the anterior fossa can usually be made by cranial computer tomography. Cerebral scintigraphy does not play an important part in the differentiation from a meningioma. Total body scintigraphy, on the other hand, is useful, particularly in distinguishing between monostotic and polyostotic bone conditions. Invasive neurological methods, such as cerebral angiography, are in our opinion unnecessary unless there are definite clinical focal cerebral symptoms in the presence of a normal computer tomogram.

摘要

颅骨骨纤维异常增殖症(贾菲-利希滕斯坦病)的诊断通常可通过X线平片做出,偶尔需断层摄影补充。前颅窝硬化性脑膜瘤的鉴别诊断通常可通过头颅计算机断层扫描做出。脑闪烁扫描术在与脑膜瘤的鉴别中不起重要作用。另一方面,全身闪烁扫描术是有用的,尤其在鉴别单发性和多发性骨病时。我们认为,除非在计算机断层扫描正常的情况下出现明确的临床局灶性脑症状,否则诸如脑血管造影等侵入性神经学检查方法并无必要。

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