Schäfer Max-Ludwig, Koch Arend, Streitparth Florian, Wiener Edzard
Institute of Radiology, Charité university hospital Berlin, Campus Virchow-Clinic, Berlin, Germany.
Institute of Neuropathology, Charité university hospital Berlin, Berlin, Germany.
Rofo. 2017 Dec;189(12):1135-1144. doi: 10.1055/s-0043-118481. Epub 2017 Sep 21.
Although a wide range of processes along the neurocranium are of a benign nature, there are often difficulties in the differential diagnosis. In the review CT/MRI scans of the head were evaluated retrospectively regarding solitary lesions along the neurocranium. The majority of the lesions were histologically proven. The purpose of the review is to present typical pathologies of the neurocranium and provide a systematic overview based on 12 entities, their locations, prevalence and radiological characteristics. Processes, which primarily originate from the neurocranium have to be differentiated from secondary processes infiltrating the neurocranium. For this important diagnostic feature, MRI is typically essential, while the definitive diagnosis is often made on the basis of the medical history and the typical appearance on computer tomography. · There are often difficulties in the precise differential diagnosis of solitary lesions along the neurocranium. Typical solitary pathologies of the neurocranium based on 12 entities were presented. Both magnetic resonance imaging and computed tomography are often essential for an exact differential diagnosis.. · Schäfer M, Koch A, Streitparth F et al. Cross Sectional Diagnosis of Solitary Lesions of the Neurocranium. Fortschr Röntgenstr 2017; 189: 1135 - 1144.
尽管神经颅骨的一系列病变多为良性，但鉴别诊断往往存在困难。在本次回顾性研究中，对头部的CT/MRI扫描进行评估，以了解神经颅骨的孤立性病变情况。大多数病变经组织学证实。本次回顾的目的是介绍神经颅骨的典型病变，并基于12种实体、其位置、患病率和放射学特征提供系统概述。主要起源于神经颅骨的病变必须与浸润神经颅骨的继发性病变相鉴别。对于这一重要的诊断特征，MRI通常至关重要，而最终诊断往往基于病史和计算机断层扫描的典型表现。· 神经颅骨孤立性病变的精确鉴别诊断常常存在困难。介绍了基于12种实体的神经颅骨典型孤立性病变。磁共振成像和计算机断层扫描对于准确的鉴别诊断通常都必不可少。· 舍费尔M、科赫A、施特雷特帕思F等。神经颅骨孤立性病变的横断面诊断。《德国放射学进展》2017年；189: 1135 - 1144。
