Pakzad-Vaezi Kaivon, Cochrane Doug, Sargent Michael, Singhal Ash
Division of Pediatric Neurosurgery, Department of Neurosurgery, British Columbia Children's Hospital and University of British Columbia, Vancouver, BC, Canada.
Pediatr Neurosurg. 2009;45(6):414-8. doi: 10.1159/000270156. Epub 2009 Dec 24.
We present a case report of a 21-month-old female patient to highlight magnetic resonance (MR) imaging findings associated with papilledema in a pediatric patient with an intracranial tumor. The MR findings included optic disc elevation, dilated perioptic subarachnoid spaces, optic nerve tortuosity and restricted diffusion in the optic nerve heads, all of which resolved upon resolution of raised intracranial pressure (ICP) and papilledema. The case demonstrates that both conventional and diffusion-weighted MR imaging findings can detect the presence, and follow posttreatment resolution, of increased ICP and papilledema in a pediatric tumor patient. The postoperative resolution of optic disc elevation clearly indicates the intracranial tumor etiology.
我们报告一例21个月大的女性患者,以突出颅内肿瘤患儿视乳头水肿相关的磁共振(MR)成像表现。MR表现包括视盘抬高、视神经周围蛛网膜下腔增宽、视神经迂曲以及视神经乳头扩散受限,所有这些表现随着颅内压(ICP)升高和视乳头水肿的消退而消失。该病例表明,传统MR成像和扩散加权MR成像表现均可检测小儿肿瘤患者ICP升高和视乳头水肿的存在,并跟踪治疗后的消退情况。视盘抬高术后消退明确提示颅内肿瘤病因。