Forsting M, Kamps I
Neuroradiologie und Neurologische Klinik, RWTH Aachen.
Rontgenblatter. 1990 Feb;43(2):46-9.
The rapidly progressing deficits of a patient with known central neurofibromatosis (NF) led to a MRI control scan. Contrary to the previous non-enhanced examinations we now saw multiple cerebral and spinal tumors, whose localisation and extension made surgical removal impossible. Gadolinium enhanced MRI is extremely useful in diagnosing and defining the extent of intracranial and intraspinal lesions, does not involve radiation exposure and should therefore be recommended generously in follow-up patients with known NF. This is the only feasible way to allow an early careful surgical removal of the tumors before reaching a point of no return.
一名已知患有中枢神经纤维瘤病（NF）的患者病情迅速进展，出现功能缺损，遂进行了磁共振成像（MRI）对照扫描。与之前的非增强检查结果不同，此次我们发现了多个脑和脊髓肿瘤，其位置和范围使手术切除无法进行。钆增强MRI在诊断和确定颅内及脊髓病变范围方面极为有用，且不涉及辐射暴露，因此对于已知患有NF的随访患者应大力推荐使用。这是在病情发展到无法挽回之前早期谨慎手术切除肿瘤的唯一可行方法。
