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[脑室I - III区肿瘤的神经放射学表现]

[Neuroradiologic findings in tumors of ventricles I-III].

作者信息

Brachmann J, Dietrich J, Goldhahn W E, Niebeling H G

出版信息

Zentralbl Neurochir. 1986;47(1):32-4.

PMID:3487902
Abstract

In the period from 1953-1983, apart from the computer tomography the following neurodiagnostic methods were employed for the diagnosis of ventricular tumours: native radiography of the skull, PEG, ventriculography, positive ventriculography, angiography and cerebral scintigraphy. This study shows that a clear change in the importance of the various methods has taken place in the above mentioned period of time. The X-ray pictures of the skull taken without a contrast medium have become less important in the last few years although they showed direct and indirect signs of the tumours in almost all ventricular tumours. The former paramount importance of the presentation of the tumours with negative or positive contrast media has decreased considerably. From 1980, for example, practically no pneumo-encephalograms and no air ventriculography have been carried out. The unreliable filling in PEG and the considerable stress for the patients, especially in classic ventriculography, and thus the relatively high rate of wrong diagnoses are the reasons for this change. Only the direct positive representation of the third ventricle, e.g. in case of pinealoma, are still attached the same importance as computer tomography. Carotid angiography which shows almost every ventricular tumour in our patients and can yield information about the vascular supply, has maintained its importance in the neuroradiological scheme of diagnostics.

摘要

在1953年至1983年期间,除计算机断层扫描外,还采用了以下神经诊断方法来诊断脑室肿瘤:头颅平片、气脑造影、脑室造影、阳性脑室造影、血管造影和脑闪烁扫描。本研究表明,在上述时间段内,各种方法的重要性发生了明显变化。近年来,无造影剂的头颅X线片的重要性有所下降,尽管它们在几乎所有脑室肿瘤中都显示出肿瘤的直接和间接征象。以前用阴性或阳性造影剂显示肿瘤的首要重要性已大幅降低。例如,自1980年以来,实际上已不再进行气脑造影和空气脑室造影。气脑造影中充盈不可靠以及给患者带来的巨大压力,尤其是在经典脑室造影中,因此错误诊断率相对较高,是这种变化的原因。只有第三脑室的直接阳性显示,例如在松果体瘤的情况下,仍然与计算机断层扫描具有同等重要性。颈动脉血管造影在我们的患者中几乎能显示每一例脑室肿瘤,并能提供有关血管供应的信息,在神经放射诊断方案中仍保持其重要性。

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