Hanakita J, Suwa H, Nagayasu S, Suzuki H
Department of Neurosurgery, Shizuoka General Hospital, Japan.
Neuroradiology. 1991;33(5):458-61. doi: 10.1007/BF00598628.
A case of capillary hemangioma of the cauda equina is reported. Myelography with water-soluble contrast material showed a complete obstruction of the contrast column at the L1-L2 level. Neither plain nor intravenously enhanced CT revealed the tumor. Spinal angiography showed a feeding vessel to the tumor and a faint tumor stain. Magnetic resonance imaging (MRI) showed a mass lesion of slightly higher than cauda equina intensity, which was clearly enhanced with Gd-DTPA. MRI, especially Gd-DTPA-enhanced study, plays the most important role in the diagnosis of a spinal capillary hemangioma. Spinal angiography was interesting in showing a tumour with a capillary blush.
报告了一例马尾毛细血管瘤病例。水溶性造影剂脊髓造影显示在L1-L2水平造影剂柱完全阻塞。平扫CT和静脉增强CT均未显示肿瘤。脊髓血管造影显示有肿瘤供血血管和轻微的肿瘤染色。磁共振成像（MRI）显示一个略高于马尾强度的肿块病变，用钆喷替酸葡甲胺（Gd-DTPA）明显强化。MRI，尤其是Gd-DTPA增强研究，在脊髓毛细血管瘤的诊断中起最重要作用。脊髓血管造影显示肿瘤有毛细血管染色很有意思。
