Santhosh K, Kesavadas C, Thomas B, Gupta A K, Kapilamoorthy T R, Radhakrishnan V V
Department of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, India.
Singapore Med J. 2009 Jan;50(1):e16-21.
Magnetic resonance imaging features of three benign cystic lumbosacral schwannomas, which showed multiple fluid-fluid levels, are described. One of the tumours showed bone destruction with fluid-fluid levels that closely mimicked an aneurysmal bone cyst. Pathological examination confirmed haemorrhage as the cause of fluid-fluid levels in the tumours. Though a rare finding, fluid-fluid levels with bone destruction can also be caused by nerve sheath tumours and hence must be included in the list of differential diagnoses of spinal tumours.
描述了三例表现为多个液-液平面的良性囊性腰骶部神经鞘瘤的磁共振成像特征。其中一个肿瘤显示伴有液-液平面的骨质破坏,酷似动脉瘤样骨囊肿。病理检查证实出血是肿瘤液-液平面形成的原因。尽管是罕见发现,但伴有骨质破坏的液-液平面也可由神经鞘瘤引起,因此必须列入脊柱肿瘤的鉴别诊断清单中。