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斜坡:解剖、正常变异及影像学表现。

The clivus: anatomy, normal variants and imaging pathology.

机构信息

Klinik für Diagnostische und Interventionelle Neuroradiologie, Klinikum Fulda, Pacelliallee 4, 36043 Fulda, Deutschland.

出版信息

Clin Neuroradiol. 2012 Jun;22(2):123-39. doi: 10.1007/s00062-011-0083-4. Epub 2011 Jun 28.

DOI:10.1007/s00062-011-0083-4
PMID:21710384
Abstract

The clivus is one of the most central parts of the skull base. As diseases of the clivus evade clinical evaluation imaging plays a pivotal role in establishing a diagnosis. This article combines the description of anatomy and pathology with an extensive pictorial essay. Starting with the development and normal macroscopic anatomy of the clivus the reader is then introduced to a large variety of normal variations and developmental disorders some of them with clinical significance. Typical examples of non-neoplastic and neoplastic masses of the clivus and their differential diagnoses are provided. The article concludes with a review of inflammatory disease and trauma.

摘要

斜坡是颅底最中央的部分之一。由于斜坡疾病难以通过临床评估发现,影像学检查在确立诊断方面起着关键作用。本文结合解剖学和病理学描述,辅以大量图片说明。首先介绍斜坡的发育和大体解剖,然后介绍具有临床意义的多种正常变异和发育障碍。提供了斜坡非肿瘤和肿瘤性肿块的典型病例及其鉴别诊断。最后回顾了炎症性疾病和创伤。

相似文献

1
The clivus: anatomy, normal variants and imaging pathology.斜坡:解剖、正常变异及影像学表现。
Clin Neuroradiol. 2012 Jun;22(2):123-39. doi: 10.1007/s00062-011-0083-4. Epub 2011 Jun 28.
2
Endoscopic Endonasal Transclival Approach to Tumors of the Clivus and Anterior Region of the Posterior Cranial Fossa: An Anatomic Study.经鼻内镜经斜坡入路治疗斜坡及后颅窝前部肿瘤的解剖学研究
World Neurosurg. 2018 Nov;119:e825-e841. doi: 10.1016/j.wneu.2018.07.275. Epub 2018 Aug 7.
3
Unusual lesion of the clivus: diagnosis and discussion.斜坡的罕见病变:诊断与讨论
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J Clin Neurosci. 2004 Aug;11(6):660-3. doi: 10.1016/j.jocn.2003.11.008.
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Giant pituitary adenoma invading the clivus.巨大垂体腺瘤侵犯斜坡。
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Infantile clivus chordoma without clivus involvement: case report and review of the literature.无斜坡受累的婴儿斜坡脊索瘤:病例报告及文献复习
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Correlation of Clivus Length and Angle with Chronological Age, Gender, Sagittal Growth Pattern of the Jaws, and Skeletal Maturation Using Lateral Cephalometry.使用头颅侧位片测量斜坡长度和角度与实际年龄、性别、颌骨矢状生长模式及骨骼成熟度的相关性
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Intrasellar chordoma masquerading as a pituitary neuroendocrine tumor: Illustrative case.

本文引用的文献

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Pediatric traumatic retroclival epidural hematoma.小儿创伤性斜坡后硬膜外血肿
Can J Neurol Sci. 2011 Mar;38(2):338-40. doi: 10.1017/s0317167100011550.
2
Monostotic fibrous dysplasia of the clivus: imaging findings.斜坡单骨型骨纤维异常增殖症:影像学表现
Turk Neurosurg. 2010 Jan;20(1):77-81.
3
Fractures of the clivus: a contemporary series in the computed tomography era.斜坡骨折:CT 时代的当代系列。
伪装成垂体神经内分泌肿瘤的鞍内脊索瘤:病例说明
Surg Neurol Int. 2024 May 10;15:159. doi: 10.25259/SNI_116_2024. eCollection 2024.
4
Volumetric assessment of Posterior cranial fossa in a West African population.西非人群后颅窝的容积评估
World Neurosurg X. 2024 Feb 24;22:100334. doi: 10.1016/j.wnsx.2024.100334. eCollection 2024 Apr.
5
Complete transverse basilar cleft associated with hemifacial microsomia.完全性横行基底裂伴半侧颜面短小畸形
Anat Cell Biol. 2024 Sep 30;57(3):473-475. doi: 10.5115/acb.23.289. Epub 2024 Mar 7.
6
Twenty Intracranial Skull Base Variations in the Same Specimen.同一标本中的二十种颅内颅底变异。
Cureus. 2023 Jun 7;15(6):e40096. doi: 10.7759/cureus.40096. eCollection 2023 Jun.
7
Ventral Clival Branch of the Ascending Pharyngeal Artery as a Transosseous Feeder of an Arteriovenous Fistula Surrounding the Clival Lesions.斜坡病变周围动静脉瘘的颅底升咽动脉咽支作为穿颅供血管。
Clin Neuroradiol. 2023 Jun;33(2):467-474. doi: 10.1007/s00062-022-01232-4. Epub 2022 Dec 7.
8
Comparative Analysis of Surgical Exposure among Endoscopic Endonasal Approaches to Petrosectomy: An Experimental Study in Cadavers.经鼻内镜岩骨次全切除术手术显露的比较分析:一项尸体实验研究
J Neurol Surg B Skull Base. 2022 Jan 14;83(5):526-535. doi: 10.1055/s-0041-1741067. eCollection 2022 Oct.
9
New Nasopharyngeal Flap for Posterior Skull-base Reconstruction: The Upper-Tongue Flap.用于后颅底重建的新型鼻咽瓣:上舌瓣
Int Arch Otorhinolaryngol. 2021 Nov 3;26(3):e467-e469. doi: 10.1055/s-0041-1724094. eCollection 2022 Jul.
10
Multiple Regression Modeling for Age Estimation by Assessment and Comparison of Spheno-Occipital Synchondrosis Fusion and Cervical Vertebral Maturation Stages.通过蝶枕软骨结合融合和颈椎成熟阶段的评估与比较进行年龄估计的多元回归建模
J Neurol Surg B Skull Base. 2021 Jan 19;83(3):285-290. doi: 10.1055/s-0040-1722277. eCollection 2022 Jun.
Neurosurgery. 2009 Dec;65(6):1063-9; discussion 1069. doi: 10.1227/01.NEU.0000360154.18604.28.
4
A case of ecchordosis physaliphora presenting with an intratumoral hemorrhage.一例以肿瘤内出血为表现的泡状脊索瘤。
Turk Neurosurg. 2009 Jul;19(3):293-6.
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Cerebrospinal fluid rhinorrhea secondary to ecchordosis physaliphora.泡状脊索瘤继发脑脊液鼻漏。
Skull Base. 2008 Nov;18(6):395-9. doi: 10.1055/s-0028-1087221.
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Clivus metastases: report of seven patients and literature review.斜坡转移瘤:7例患者报告及文献综述
Acta Neurochir (Wien). 2009 Apr;151(4):291-6; discussion 296. doi: 10.1007/s00701-009-0229-1. Epub 2009 Mar 4.
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Otogenic cranial base osteomyelitis: a proposed prognosis-based system for disease classification.耳源性颅底骨髓炎:一种基于预后的疾病分类系统建议
Otol Neurotol. 2008 Aug;29(5):666-72. doi: 10.1097/MAO.0b013e318179972f.
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Case 133: Ecchordosis physaliphora.病例133:泡状脊索瘤。
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The role of the otorhinolaryngologist in the management of central skull base osteomyelitis.耳鼻喉科医生在中枢性颅底骨髓炎治疗中的作用。
Am J Rhinol. 2007 May-Jun;21(3):281-5. doi: 10.2500/ajr.2007.21.3033.