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包虫病:颅骨及上矢状窦受累的磁共振成像

Hydatid disease: MR imaging of calvarium and superior sagittal sinus involvement.

作者信息

Demir Mustafa Kemal, Yapıcıer Ozlem, Hasanov Teyyub, Yılmaz Baran, Kılıç Türker

机构信息

1 Department of Radiology, Bahçeşehir University School of Medicine, Göztepe Medical Park Hospital, Istanbul, Turkey.

2 Department of Pathology, Bahçeşehir University School of Medicine, Göztepe Medical Park Hospital, Istanbul, Turkey.

出版信息

Neuroradiol J. 2018 Jun;31(3):320-323. doi: 10.1177/1971400918764130. Epub 2018 Mar 13.

Abstract

Extra-axial hydatid disease (HD) is rare and may create a diagnostic challenge. Herein, we report an extremely rare case of calvarial HD with superior sagittal sinus invasion and an extension to the scalp with unusual magnetic resonance imaging findings simulating osteomyelitis and abscess. Recognition of detached endocystic membranes was the most important clue for the correct diagnosis. HD should be included in the differential diagnosis for a patient having a destructive skull lesion with peripheral enhancing extra-axial soft tissue component. Preoperative correct imaging diagnosis is crucial to improving patient management.

摘要

颅外棘球蚴病(HD)较为罕见,可能会带来诊断挑战。在此,我们报告一例极其罕见的颅骨HD病例,该病例侵犯上矢状窦并延伸至头皮,磁共振成像表现异常,类似骨髓炎和脓肿。识别分离的内囊膜是正确诊断的最重要线索。对于有颅骨破坏性病变且轴外软组织成分周边强化的患者,鉴别诊断应包括HD。术前正确的影像诊断对于改善患者治疗至关重要。

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