囊性脑膜瘤：诊断难点及磁共振成像在诊断与治疗中的应用
Cystic meningioma: diagnostic difficulties and utility of MRI in diagnosis and management.
作者信息
Sotiriadis Charalampos, Vo Quoc Duy, Ciarpaglini Riccardo, Hoogewoud Henri Marcel
机构信息
HFR-Fribourg-Hôpital Cantonal, Fribourg, Switzerland.
出版信息
BMJ Case Rep. 2015 Mar 26;2015:bcr2014208274. doi: 10.1136/bcr-2014-208274.
Abstract
We report the case of a patient presenting with convulsions in the emergency department. A CT examination revealed a mixed solid and cystic frontal peripheral mass. The intra-axial or extra-axial location and the differentiation between primary or secondary origin were not evident so MRI was performed. The most probable diagnosis was cystic meningioma with intratumoural cysts. Based on MRI findings, the neurosurgeon resected the mass together with its cystic components. The histological report verified the diagnosis and the patient had an excellent outcome.
摘要
我们报告了一名在急诊科出现惊厥症状的患者病例。CT检查显示额叶周边有一个混合实性和囊性肿块。轴内或轴外位置以及原发性或继发性起源之间的区分并不明显，因此进行了MRI检查。最可能的诊断是伴有肿瘤内囊肿的囊性脑膜瘤。根据MRI结果，神经外科医生切除了肿块及其囊性成分。组织学报告证实了诊断，患者预后良好。
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