Probst C, Mironov A
Neurochirurgische Klinik, Kantonsspital Aarau.
Aktuelle Traumatol. 1991 Apr;21(2):40-5.
300 patients with traumatic frontobasal CSF-fistulae were treated neurosurgically from 1967 to 1989. CT was introduced in 1980, allowing a definitive detection of intracranial lesions including appraisal of cerebral edema, direct detection of fistulae (metrizamide-CT) and of brain hernias and far better imaging of osseous lesions, also of fine structures, such as a better apprasial of paranasal sinus pathology. Classical radiology is, however, still indispensable for imaging certain fracture types and localization of a pneumocranium. Computer Tomography allows an improvement of postoperative results, influencing indication, timing of operation, such as surgical approach.
1967年至1989年期间,300例创伤性额底脑脊液漏患者接受了神经外科治疗。1980年引入了CT,它能够明确检测颅内病变,包括评估脑水肿、直接检测瘘管(甲泛葡胺CT)和脑疝,还能更好地对骨质病变进行成像,包括对细微结构成像,比如能更好地评估鼻窦病变。然而,传统放射学对于某些骨折类型的成像和气颅定位仍然不可或缺。计算机断层扫描能够改善术后结果,影响手术指征、手术时机,比如手术入路。