Sievers K W, Dietrich U, Zöller E, Dost P, Jahnke K
Röntgendiagnostisches Zentralinstitut, Universitätsklinikum Essen.
HNO. 1992 Dec;40(12):464-7.
The clinical occurrence of isolated sphenoid sinusitis is rare. Due to a long history and few initial symptoms, diagnosis of this potentially fatal infections can be difficult. Radiological aspects in 10 patients are presented (e.g. type and design of examination and whether inflammatory or destructive changes could be shown), as well as clinical aspects (cranial nerve palsy, concurrent inflammation, duration of disease and therapy). CT proved to be superior in diagnosing the extent of any bony changes, while MRI was more useful in detecting inflammation.
孤立性蝶窦炎的临床发生率很低。由于病史较长且初期症状较少，诊断这种潜在致命性感染可能会很困难。本文介绍了10例患者的影像学表现（如检查类型和方式以及是否显示出炎症或破坏性改变）以及临床情况（颅神经麻痹、并发炎症、病程和治疗情况）。CT在诊断骨质改变范围方面被证明更具优势，而MRI在检测炎症方面更有用。
