Arevalo-Perez Julio, Millán-Juncos José M
Department of Radiology, Memorial Sloan-Kettering Cancer Center, New York, USA
Department of Radiology, Hospital Universitario 12 de Octubre, Madrid, Spain.
Neuroradiol J. 2015 Jun;28(3):264-7. doi: 10.1177/1971400915592554.
Encephaloceles consist of brain tissue and meninges that has herniated through a skull defect, usually located in the midline. They are seen more commonly in children and very rarely in adults. We present a case of an 84-year-old patient who was incidentally diagnosed with a lytic bone lesion in the right parietal intradiploic space, after computed tomography of the head was performed. A magnetic resonance imaging scan of the brain showed herniation of brain tissue through the defect. Magnetic resonance imaging was crucial in demonstrating the presence of parenchyma and its continuity with the rest of the brain, consequently distinguishing it from other entities. We report the imaging findings of a parietal indradiploic encephalocele with its differential diagnosis and a review of the relevant literature.
脑膨出由通过颅骨缺损疝出的脑组织和脑膜组成,通常位于中线。它们在儿童中更常见,在成人中非常罕见。我们报告一例84岁患者,在进行头部计算机断层扫描后偶然诊断出右侧顶骨板障内有溶骨性骨病变。脑部磁共振成像扫描显示脑组织通过缺损处疝出。磁共振成像对于显示实质的存在及其与大脑其他部分的连续性至关重要,从而将其与其他实体区分开来。我们报告了一例顶骨板障性脑膨出的影像学表现、鉴别诊断并复习相关文献。