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使用扩散加权磁共振成像、灌注加权磁共振成像和磁共振波谱对坏死性脑膜瘤的特征分析:病例报告及文献复习

Characterization of necrotic meningioma using diffusion MRI, perfusion MRI, and MR spectroscopy: case report and review of the literature.

作者信息

Harting I, Hartmann M, Bonsanto M M, Sommer C, Sartor K

机构信息

Department of Neuroradiology, University of Heidelberg Medical School, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany.

出版信息

Neuroradiology. 2004 Mar;46(3):189-93. doi: 10.1007/s00234-003-1144-4. Epub 2004 Feb 4.

DOI:10.1007/s00234-003-1144-4
PMID:15034700
Abstract

Necrotic meningiomas are relatively rare, accounting for 1.3-3.9% of primary intracranial tumours and for 10-15% of meningiomas, but are of special clinical importance as they may resemble metastases or malignant gliomas. We report the magnetic resonance findings of diffusion-weighted imaging, perfusion-weighted imaging, and spectroscopy in a patient with a necrotic meningioma, in whom clinical symptoms and signs suggested a central nervous system infection.

摘要

坏死性脑膜瘤相对少见,占原发性颅内肿瘤的1.3 - 3.9%,占脑膜瘤的10 - 15%,但具有特殊的临床重要性,因为它们可能类似于转移瘤或恶性胶质瘤。我们报告了一例坏死性脑膜瘤患者的磁共振扩散加权成像、灌注加权成像和波谱分析结果,该患者的临床症状和体征提示中枢神经系统感染。

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Restricted diffusion within ring enhancement is not pathognomonic for brain abscess.环状强化内的扩散受限对脑脓肿而言并非具有特征性。
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