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用于检测脑脊液漏的脑池造影术的视觉与定量分析

Visual and Quantitative Analysis of Cisternography for the Detection of Cerebrospinal Fluid Leakage.

作者信息

Choi Eun Kyoung, Oh Jin Kyoung, Park Sonya Youngju, Yoo Ikdong, Kim Dong-Hyun, Chung Yong-An

机构信息

Department of Radiology, College of Medicine, Incheon St. Mary's Hospital, The Catholic University of Korea, Dongsu-ro 56, Bupyung-gu, Incheon, Gyeonggi-do 404-834 Republic of Korea.

Department of Radiology, College of Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Republic of Korea.

出版信息

Nucl Med Mol Imaging. 2017 Jun;51(2):193-194. doi: 10.1007/s13139-015-0389-2. Epub 2015 Dec 22.

DOI:10.1007/s13139-015-0389-2
PMID:28559947
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5429290/
Abstract

We herein present a case of a 29-year-old man with clear rhinorrhea, which persisted for 8 years following a myringotomy. After cotton pledgets were placed in several different regions of the nasal cavity, cisternography using Tc-99m DTPA was performed to measure the radioactivity of each pledget. Cisternography showed subtle uptake in the nasal cavity. However, intense uptake was detected in the pledget placed in the right eustachian tube orifice, where the pledget:serum count ratio was 10.3:1. The patient underwent duroplasty and cranioplasty, and the rhinorrhea resolved.

摘要

我们在此报告一例29岁男性，患有清亮鼻漏，在鼓膜切开术后持续了8年。在鼻腔的几个不同区域放置棉球后，使用锝-99m二乙三胺五乙酸（Tc-99m DTPA）进行脑池造影，以测量每个棉球的放射性。脑池造影显示鼻腔有轻微摄取。然而，放置在右咽鼓管开口处的棉球检测到强烈摄取，该处棉球与血清计数比为10.3:1。患者接受了硬脑膜成形术和颅骨成形术，鼻漏得以解决。

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Nucl Med Mol Imaging. 2017 Jun;51(2):193-194. doi: 10.1007/s13139-015-0389-2. Epub 2015 Dec 22.
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本文引用的文献

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Demonstration of cerebrospinal fluid leakage on radionuclide cisternography by SPECT/CT.SPECT/CT 脑池显像显示脑脊液漏。
Clin Nucl Med. 2015 Jan;40(1):e55-7. doi: 10.1097/RLU.0000000000000362.
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Radionuclide imaging with SPECT/CT in suspected cerebrospinal fluid leakage.疑似脑脊液漏的SPECT/CT放射性核素成像
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Traumatic cerebrospinal fluid leaks.创伤性脑脊液漏
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Contribution of SPECT/CT 111In-DTPA cisternography in the localization of an intermittent cerebrospinal fluid leak in a 3-year-old girl with congenital bone defect.SPECT/CT 111In-DTPA脑池造影在一名患有先天性骨缺损的3岁女孩间歇性脑脊液漏定位中的作用
Clin Nucl Med. 2011 May;36(5):386-8. doi: 10.1097/RLU.0b013e31820a9f25.
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Radionuclide cisternography in detecting cerebrospinal fluid leak in spontaneous intracranial hypotension: a series of four case reports.放射性核素脑池造影术在检测自发性颅内低压脑脊液漏中的应用：4例系列病例报告
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Cerebrospinal fluid leakage in intracranial hypotension syndrome: usefulness of indirect findings in radionuclide cisternography for detection and treatment monitoring.颅内低压综合征中的脑脊液漏：放射性核素脑池造影间接征象在检测及治疗监测中的作用
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Otolaryngol Clin North Am. 2005 Aug;38(4):597-611. doi: 10.1016/j.otc.2005.03.011.
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Management of cerebrospinal fluid leak associated with craniomaxillofacial trauma.颅颌面创伤相关脑脊液漏的管理
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J Nucl Med. 1973 Dec;14(12):933-4.
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Radionuclide cisternography in the diagnosis and management of cerebrospinal fluid leaks: the test of choice.
Med J Aust. 1987 Jan 19;146(2):82-4. doi: 10.5694/j.1326-5377.1987.tb136268.x.

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