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数字减影脑池造影术:脑脊液鼻漏中瘘口定位的新方法。

Digital subtraction cisternography: a new approach to fistula localisation in cerebrospinal fluid rhinorrhoea.

作者信息

Byrne J V, Ingram C E, MacVicar D, Sullivan F M, Uttley D

机构信息

Atkinson Morley's Hospital, Wimbledon, London, United Kingdom.

出版信息

J Neurol Neurosurg Psychiatry. 1990 Dec;53(12):1072-5. doi: 10.1136/jnnp.53.12.1072.

DOI:10.1136/jnnp.53.12.1072
PMID:2292701
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC488318/
Abstract

Positive contrast cisternography with digital subtraction of fluoroscopy images before computed tomography (CT) was employed in the investigation of eight patients with cerebrospinal fluid (CSF) rhinorrhoea. Fistulae were visualised by preliminary digital subtraction cisternography (DSC) in six patients and in five patients the sites of leakage were confirmed at surgery. Fluoroscopy facilitated interpretation of CT in all the positive studies and in two patients provided information which could not be deduced from CT cisternography (CTC) alone. The combined technique is recommended for the investigation of patients with recurrent and post operative CSF rhinorrhoea and when CTC alone fails to identify the site of leakage.

摘要

在对8例脑脊液鼻漏患者的研究中,采用了在计算机断层扫描(CT)前进行数字减影的荧光透视图像阳性脑池造影术。通过初步数字减影脑池造影术(DSC)在6例患者中发现了瘘管,其中5例患者手术时证实了漏口部位。在所有阳性研究中,荧光透视有助于CT的解读,在2例患者中提供了仅从CT脑池造影(CTC)无法推断出的信息。对于复发性和术后脑脊液鼻漏患者以及单独的CTC未能确定漏口部位的情况,建议采用联合技术进行检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3bb/488318/b985db767cbf/jnnpsyc00522-0056-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3bb/488318/8013a71dc4af/jnnpsyc00522-0055-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3bb/488318/306b3844e446/jnnpsyc00522-0055-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3bb/488318/b985db767cbf/jnnpsyc00522-0056-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3bb/488318/8013a71dc4af/jnnpsyc00522-0055-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3bb/488318/306b3844e446/jnnpsyc00522-0055-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d3bb/488318/b985db767cbf/jnnpsyc00522-0056-a.jpg

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Spontaneous "high-pressure cerebrospinal rhinorrhea" due to lesions obstructing flow of cerebrospinal fluid.因脑脊液流动受阻性病变导致的自发性“高压性脑脊液鼻漏”
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