Gabrillargues J, Barral F-G, Claise B, Manaira L, Chabert E
Service de radiologie A, hôpital Gabriel-Monpied, CHU, 63000 Clermont-Ferrand, France.
Neurochirurgie. 2007 Jun;53(2-3 Pt 2):141-51. doi: 10.1016/j.neuchi.2007.03.002.
MRI is the best radiological technique to explore cavernomas, vascular malformations affecting the entire central nervous system. The presence of blood degradation products produces a specific aspect which enables excellent contrast resolution. Certain diagnosis can be established with MRI which can also be used to follow growth and modifications, particularly in familial forms. In the emergency setting, the first exam is often a CT-scan for patients presenting acute neurological sign(s) and/or with a clinical suspicion of hemorrhagic stroke. Angiography is generally not contributive because cavernomas are occult vascular malformations. Nevertheless, this exam is often necessary when an associated vascular abnormality is suspected, particularly a developmental venous abnormality.
磁共振成像(MRI)是用于探查海绵状血管瘤(一种累及整个中枢神经系统的血管畸形)的最佳放射学技术。血液降解产物的存在产生了一种特定的影像特征,使得MRI具有出色的对比度分辨率。MRI能够做出明确诊断,还可用于观察其生长及变化情况,尤其是在家族性海绵状血管瘤中。在急诊情况下,对于出现急性神经症状和/或临床怀疑为出血性卒中的患者,首次检查通常是计算机断层扫描(CT)。血管造影一般并无帮助,因为海绵状血管瘤是隐匿性血管畸形。然而,当怀疑存在相关血管异常,尤其是发育性静脉异常时,这项检查通常是必要的。